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South Carolina rates for HCPCS L3900

Wrist Hand Finger Orthosis 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
$852.42 / $852.42 / $852.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.84 / $852.42 / $1,508.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,230.70 / $1,825.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.05 / $891.35 / $984.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $1,124.39 / $1,258.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.40 / $1,234.00 / $2,704.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.00 / $968.00 / $1,041.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.78 / $1,163.78 / $1,163.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.80 / $800.77 / $1,035.42