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South Carolina rates for HCPCS L3360

Sole Wedge Outside Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.49 / $21.35 / $37.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $29.00 / $45.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $26.67 / $29.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $26.67 / $34.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $28.82 / $67.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $20.56 / $27.05