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South Carolina rates for HCPCS L3390

Outflare 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
$14.40 / $43.99 / $48.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $36.14 / $43.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.74 / $45.16 / $94.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $28.85 / $36.14