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South Carolina rates for HCPCS L3740

Elbow orthosis (EO), 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
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $741.31 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $794.33 / $794.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,995.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $588.84 / $794.33