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South Carolina rates for HCPCS L3500

Orthopedic Shoe Addition Insole Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $17.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.96 / $17.55 / $31.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $23.96 / $37.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $23.58 / $26.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $21.32 / $23.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $24.58 / $55.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $23.96 / $23.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $18.18 / $23.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $16.84 / $21.32