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South Carolina rates for HCPCS L3807

Wrist Hand Finger Orthosis Without Joint(S) Pre-Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.45 / $51.86 / $66.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.46 / $136.44 / $241.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.19 / $179.19 / $275.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.52 / $83.29 / $449.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $215.37 / $307.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.59 / $135.00 / $149.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $178.00 / $219.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.68 / $198.00 / $432.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.00 / $154.00 / $167.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.29 / $186.29 / $186.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $129.46 / $165.74