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South Carolina rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $46.77 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $25.12 / $61.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $17.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $26.30 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $21.38 / $33.88