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South Carolina rates for HCPCS L3100

Hallux-valgus night dynamic splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.91 / $25.91 / $25.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $25.91 / $45.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $35.39 / $55.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $34.89 / $38.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $31.49 / $34.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.22 / $34.99 / $82.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $25.15 / $31.49