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South Carolina rates for HCPCS L3410

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.68 / $55.68 / $55.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.61 / $55.68 / $98.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $74.39 / $119.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $66.72 / $73.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $66.72 / $67.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.06 / $84.54 / $176.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.01 / $76.01 / $76.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $53.62 / $67.64