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South Carolina rates for HCPCS L3674

Shoulder Orthosis Abduction Positioning (Airplanedesign) Thoracic Component And Support Bar With Or Without Nontorsion Joint/Turnbuckle May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $645.00 / $645.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.87 / $645.00 / $1,141.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.17 / $1,303.17 / $1,568.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.52 / $723.52 / $798.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.16 / $723.52 / $723.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $978.36 / $2,108.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.36 / $978.36 / $978.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.42 / $621.15 / $869.29