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South Carolina rates for HCPCS L3924

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.50 / $36.84 / $36.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.46 / $60.04 / $95.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $38.96 / $100.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.21 / $61.21 / $67.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $60.32 / $83.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.46 / $80.68 / $149.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.79 / $64.79 / $64.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.86 / $127.86 / $127.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.78 / $47.63 / $67.55