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South Carolina rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $12.30 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $36.31 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $28.84 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $9.55 / $23.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $6.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.00 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $13.18