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South Carolina rates for HCPCS L3900

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,737.80 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $891.25 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $2,041.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,047.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $2,818.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,071.52