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South Carolina rates for HCPCS L3930

Hand-finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf

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
$41.00 / $92.81 / $111.69
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 / $41.73 / $53.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.93 / $62.60 / $145.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $42.00
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 / $44.24 / $64.78