go back

South Carolina rates for HCPCS L3260

Surgical Boot/Shoe Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $19.43 / $25.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $10.55 / $18.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $19.55 / $19.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $36.04 / $45.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $21.12 / $23.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $21.12 / $21.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $7.40 / $23.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $31.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $33.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $9.35 / $11.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $7.30 / $11.26