go back

South Carolina rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.23 / $60.23 / $60.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.32 / $60.23 / $106.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $80.69 / $128.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $86.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $73.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.16 / $84.32 / $191.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $77.00 / $77.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.23 / $82.23 / $82.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.57 / $58.45 / $73.19