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South Carolina rates for HCPCS L3980

Upper Extremity Fracture Orthosis Humeral Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.68 / $168.68 / $168.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.85 / $168.68 / $298.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $252.15 / $361.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.79 / $229.50 / $253.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $243.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.66 / $245.00 / $535.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $192.00 / $206.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.29 / $230.29 / $230.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.14 / $168.51 / $229.21