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South Carolina rates for HCPCS L3420

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $32.78 / $32.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $32.78 / $57.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $44.12 / $70.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.78 / $40.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $41.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $44.25 / $104.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $38.00 / $38.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.75 / $44.75 / $44.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $78.48 / $78.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.03 / $31.57 / $39.83