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South Carolina rates for HCPCS L3510

Orthopedic Shoe Addition Insole Rubber (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
$16.84 / $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 / $24.27 / $26.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $21.32 / $24.27
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 / $22.00 / $22.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $23.96 / $23.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $16.84 / $21.32