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South Carolina rates for HCPCS L3450

Heel Sach Cushion Type (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.27 / $63.27 / $63.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.71 / $63.27 / $111.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $84.48 / $135.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $70.98 / $78.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $70.98 / $76.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.59 / $85.42 / $200.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $74.00 / $74.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $60.94 / $76.88