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South Carolina rates for HCPCS L3765

Elbow Wrist Hand Finger Orthosis Rigid Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $699.67 / $699.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.99 / $699.67 / $1,237.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.00 / $895.12 / $1,484.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.46 / $907.46 / $1,001.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.45 / $911.00 / $1,124.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.05 / $1,034.43 / $2,220.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.43 / $1,034.43 / $1,034.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.24 / $955.24 / $955.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.16 / $678.84 / $850.10