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South Carolina rates for HCPCS L3761

Elbow Orthosis (Eo) With Adjustable Position Locking Joint(S) Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.88 / $272.88 / $272.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.82 / $272.88 / $482.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $555.00 / $555.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.00 / $443.78 / $626.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $414.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $375.73 / $383.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.88 / $367.33 / $933.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.11 / $444.11 / $444.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.54 / $372.54 / $372.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.36 / $266.47 / $355.29