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South Carolina rates for HCPCS L3702

Elbow Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.00 / $157.57 / $243.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.18 / $169.87 / $425.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.51 / $258.45 / $369.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $195.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $212.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.66 / $232.94 / $499.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.94 / $232.94 / $232.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.11 / $215.11 / $215.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.88 / $151.13 / $191.43