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South Carolina rates for HCPCS L3214

Benesch Boot Pair Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.32 / $24.32 / $24.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $24.32 / $48.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $54.06 / $68.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.96 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $43.57 / $49.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.32 / $30.16 / $75.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.06 / $59.06 / $59.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $43.51 / $43.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $29.98 / $48.76