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South Carolina rates for HCPCS L3929

Hand-finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, 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
$45.93 / $45.93 / $45.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.07 / $45.93 / $81.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $46.64 / $96.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $59.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $78.90 / $86.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $69.75 / $150.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $69.75 / $69.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.71 / $62.71 / $62.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $44.06 / $59.79