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South Carolina rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Facilitymedian $32 · 10th–90th $25–$660%20%10th90th$32Professionalmedian $27 · 10th–90th $22–$450%20%10th90th$27$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $50.12 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $36.31 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $60.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $38.02 / $77.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $27.54 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $34.67