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South Carolina rates for HCPCS L3671

Shoulder Orthosis Shoulder Joint Design Without Joints May Includ Soft Interface Straps Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.67 / $491.67 / $491.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.74 / $491.67 / $869.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $630.37 / $1,043.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $551.53 / $608.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.62 / $551.53 / $597.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.04 / $726.90 / $1,560.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.90 / $726.90 / $726.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.25 / $671.25 / $671.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.39 / $473.49 / $597.38