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South Carolina rates for HCPCS L3919

Hand orthosis (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $457.09 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $79.43 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $302.00 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $194.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $218.78 / $478.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $165.96 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $186.21