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South Carolina rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.08 / $56.08 / $142.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $56.08 / $99.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.65 / $111.54 / $115.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $83.20 / $120.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.47 / $70.80 / $78.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $71.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.42 / $82.00 / $177.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $64.00 / $68.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $76.56 / $76.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.28 / $56.02 / $76.20