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South Carolina rates for HCPCS L3211

Surgical Boot Each Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $13.60 / $13.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $27.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $36.04 / $44.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $28.58 / $36.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $24.36 / $28.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $16.86 / $42.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.85 / $32.85 / $32.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.13 / $17.36 / $27.41