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South Carolina rates for HCPCS L3908

Wrist Hand Orthosis Wrist Extension Control Cock-Up Non-Molded Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.25 / $32.54 / $70.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.91 / $39.67 / $118.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.93 / $54.92 / $70.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $48.78 / $91.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.43 / $71.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.42 / $45.70 / $50.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $87.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $48.00 / $103.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $40.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $44.63 / $44.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.32 / $32.65 / $44.42