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South Carolina rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.72 / $37.72 / $37.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $37.72 / $66.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $56.73 / $80.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $54.54 / $60.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.83 / $54.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.90 / $55.00 / $119.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $46.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $37.68 / $48.24