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South Carolina rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.11 / $51.11 / $51.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.45 / $51.11 / $90.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $68.08 / $109.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $69.65 / $76.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $62.09 / $69.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.37 / $68.98 / $162.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $49.58 / $62.08