go back

South Carolina rates for HCPCS L3380

Clubfoot Wedge (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
$12.24 / $33.35 / $36.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $33.35 / $36.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.74 / $41.64 / $94.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $38.00 / $38.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.10 / $30.82 / $40.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $28.53 / $40.11