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South Carolina rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal 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
$26.37 / $28.22 / $49.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $37.82 / $60.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $41.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $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
Facility
Modifier
Low / Median / High Price
$17.13 / $29.25 / $38.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $27.17 / $34.28