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South Carolina rates for HCPCS L3962

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment

Facilitymedian $562 · 10th–90th $417–$1,2300%20%10th90th$562Professionalmedian $468 · 10th–90th $363–$8510%10%20%10th90th$468$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $457.09 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $954.99 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $489.78 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $478.63
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $676.08 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $257.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $457.09 / $588.84