go back

South Carolina rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $19.50 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.91 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.12 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $37.15 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $20.89 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $21.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $8.91 / $21.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $9.33 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.59 / $12.02