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South Carolina rates for HCPCS L3455

Heel, new leather, standard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $47.86 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $27.54 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $57.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $32.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $33.11 / $77.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $14.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $25.70 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $24.55 / $30.90