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South Carolina rates for HCPCS L3202

Orthopedic Shoe Oxford With Supinator Or Pronator Child (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $33.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $46.35 / $58.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $41.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $29.81 / $30.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $20.63 / $51.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $40.60 / $40.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $21.24 / $33.81