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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
$30.45 / $53.59 / $70.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.91 / $153.37 / $241.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.98 / $237.63 / $280.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $220.63 / $307.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $156.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $146.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.44 / $215.77 / $446.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.77 / $215.77 / $215.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.29 / $186.29 / $186.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $131.41 / $191.71