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South Carolina rates for HCPCS L3917

Hand orthosis (HO), metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Facilitymedian $69 · 10th–90th $54–$1510%20%10th90th$69Professionalmedian $59 · 10th–90th $48–$1000%20%10th90th$59$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $58.88 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $81.28 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $64.57 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $134.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $87.10 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $61.66 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $77.62