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South Carolina rates for HCPCS L3962

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Erbs Palsey Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.31 / $468.31 / $468.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.69 / $468.31 / $828.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $693.40 / $1,002.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.42 / $494.25 / $545.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $494.25 / $569.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.09 / $678.00 / $1,485.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.00 / $532.00 / $572.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.37 / $639.37 / $639.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.70 / $427.50 / $569.01