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South Carolina rates for HCPCS L3912

Hand Finger Orthosis (Hfo) Flexion Glove With Elastic Finger Control Prefabricated Off-The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.44 / $138.72 / $138.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.32 / $52.44 / $92.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $78.16 / $112.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.20 / $66.37 / $73.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $63.73 / $66.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.15 / $76.00 / $166.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $64.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $71.59 / $71.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $52.16 / $70.81