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South Carolina rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $57.54 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $36.31 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $70.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $39.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $44.67 / $97.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $31.62 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.20 / $38.90