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South Carolina rates for HCPCS L3400

Metatarsal Bar Wedge Rocker (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.41 / $24.41 / $24.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $24.41 / $43.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $32.77 / $52.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $33.72 / $37.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $29.66 / $33.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.94 / $38.00 / $77.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.41 / $58.41 / $58.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $23.51 / $29.66