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South Carolina rates for HCPCS L3020

Foot Insert Removable Molded To Patient Model Longitudinal/ Metatarsal Support Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.96 / $260.17 / $260.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.14 / $128.25 / $252.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.24 / $168.24 / $168.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $157.59 / $254.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.60 / $152.55 / $168.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $144.53 / $153.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.95 / $180.62 / $377.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.00 / $139.00 / $139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $114.10 / $144.53