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South Carolina rates for HCPCS L3649

Orthopedic Shoe Modification Addition Or Transfer Not Otherwise Specified (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $22.15 / $22.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.25 / $56.25 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.13 / $15.13 / $18.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00