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South Carolina rates for HCPCS L3660

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $141.25 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $114.82 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $70.79 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $131.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $67.61 / $75.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $91.20 / $194.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $66.07 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $56.23 / $75.86