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South Carolina rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.90 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $208.93 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $177.83 / $446.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $177.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $141.25 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $134.90 / $194.98