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South Carolina rates for HCPCS L3370

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $29.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.04 / $29.74 / $52.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $40.35 / $63.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $33.35 / $36.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $24.35 / $37.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $40.15 / $94.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $38.00 / $38.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.60 / $40.60 / $40.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.17 / $71.17 / $71.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $28.53 / $36.14