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South Carolina rates for HCPCS L3040

Foot Arch Support Removable Premolded Longitudinal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $28.22 / $28.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.08 / $28.22 / $49.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $38.50 / $60.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $33.22 / $48.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $34.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.37 / $39.51 / $89.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $33.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $27.07 / $34.28