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South Carolina rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $43.65 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $75.86 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $54.95 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $102.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $46.77 / $51.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $60.26 / $131.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $24.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $47.86 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $38.02 / $51.29