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South Carolina rates for HCPCS L3927

Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $16.55 / $56.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $20.57 / $61.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.22 / $40.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $27.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $24.30 / $24.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $28.99 / $60.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.99 / $28.99 / $28.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.06 / $26.06 / $26.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $18.52 / $24.85