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South Carolina rates for HCPCS L3919

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.79 / $457.30 / $506.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.16 / $147.79 / $261.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.82 / $78.58 / $424.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $201.72 / $316.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $194.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $193.00 / $238.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.88 / $218.49 / $468.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.49 / $218.49 / $218.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.77 / $201.77 / $201.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.59 / $143.38 / $179.56