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South Carolina rates for HCPCS L3254

Nonstandard size or width

Facilitymedian $14 · 10th–90th $14–$240%50%90th$14Professionalmedian $14 · 10th–90th $11–$170%50%10th90th$14$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.37 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $10.72
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.79 / $28.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12