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South Carolina rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.41 / $24.41 / $24.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $24.41 / $43.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $32.77 / $52.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $27.38 / $30.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $29.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $32.95 / $77.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $23.41 / $29.66