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South Carolina rates for HCPCS L3923

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.39 / $183.88 / $220.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.54 / $57.60 / $170.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.31 / $86.31 / $86.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $38.96 / $100.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $59.92 / $66.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $67.34 / $73.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.89 / $51.07 / $149.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $26.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $45.53 / $60.70