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South Carolina rates for HCPCS L3265

Plastazote sandal, each

Facilitymedian $9 · 10th–90th $6–$290%10%10th90th$9Professionalmedian $8 · 10th–90th $6–$130%10%20%10th90th$8$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $12.30 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $9.55 / $24.55
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $6.61
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
$6.31 / $10.00 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $8.13 / $13.18