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South Carolina rates for HCPCS L3650

Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf

Facilitymedian $20 · 10th–90th $19–$590%20%10th90th$20Professionalmedian $39 · 10th–90th $30–$620%10%20%10th90th$39$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
$18.62 / $20.42 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $46.77 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $66.07 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $46.77 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $91.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $44.67
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $114.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $40.74 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $43.65