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South Carolina rates for HCPCS L3806

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.50 / $576.42 / $1,032.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.82 / $247.86 / $438.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $252.15 / $520.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $306.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $364.82 / $399.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $376.35 / $810.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.35 / $376.35 / $376.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.47 / $258.99 / $334.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.56 / $237.50 / $310.08