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South Carolina rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.51 / $30.51 / $30.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $30.51 / $53.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $40.35 / $65.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $36.72 / $40.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $37.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.43 / $42.71 / $96.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $29.60 / $37.07