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South Carolina rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Facilitymedian $14 · 10th–90th $10$360%20%10th90th$14Professionalmedian $13 · 10th–90th $10$210%10%20%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0

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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $28.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.14 / $39.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.72
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
$10.00 / $16.60 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.18 / $21.38