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South Carolina rates for HCPCS L3030

Foot Insert Removable Formed To Patient Foot Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $45.76 / $45.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $45.76 / $80.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.43 / $127.59 / $220.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $61.54 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $61.54 / $103.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.14 / $70.00 / $177.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $44.40 / $55.58