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South Carolina rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $23 · 10th–90th $16–$580%20%10th90th$23Professionalmedian $21 · 10th–90th $16–$340%10%20%10th90th$21$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.89 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $27.54 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $30.20 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $64.57
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $26.92 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.38 / $34.67