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South Carolina rates for HCPCS L3740

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Adjustable Position Lock With Active Control Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.91 / $583.91 / $583.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.91 / $583.91 / $1,033.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.00 / $898.24 / $1,279.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.42 / $736.22 / $812.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $709.45 / $736.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.99 / $846.00 / $1,852.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.00 / $663.00 / $713.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.20 / $797.20 / $797.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.30 / $587.79 / $745.79