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South Carolina rates for HCPCS L3520

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $19.05 / $33.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.22 / $40.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $21.38 / $23.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $21.38 / $23.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $29.00 / $60.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $18.36 / $23.16