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South Carolina rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $120.23 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $70.79 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $147.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $83.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $85.11 / $199.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $66.07 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $79.43