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South Carolina rates for HCPCS L3906

Who Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.10 / $170.10 / $508.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.86 / $287.79 / $774.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.00 / $774.00 / $774.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.71 / $364.88 / $665.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $340.40 / $492.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.14 / $293.31 / $323.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $377.51 / $412.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $334.00 / $730.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.00 / $262.00 / $281.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.27 / $314.27 / $314.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.80 / $580.80 / $580.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $221.68 / $292.97