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South Carolina rates for HCPCS L3455

Heel New Leather Standard (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
$23.42 / $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
$10.80 / $27.38 / $33.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $31.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $32.95 / $77.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $31.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $23.51 / $29.66