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South Carolina rates for HCPCS L3921

Hand-finger orthosis (HFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $354.81 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $407.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $234.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $257.04 / $562.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $194.98 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $223.87