go back

South Carolina rates for HCPCS L3170

Foot Plastic Silicone Or Equal Heel Stabilizer Prefabricated Off-The-Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.51 / $30.51 / $30.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $30.51 / $53.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $40.07 / $40.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $40.35 / $65.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $34.22 / $37.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $34.22 / $37.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $41.19 / $96.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $29.38 / $37.07