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South Carolina rates for HCPCS L3982

Upper Extremity Fracture Orthosis Radius/Ulnar Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.40 / $208.40 / $208.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.96 / $238.80 / $605.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.95 / $378.95 / $378.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.00 / $308.89 / $446.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.54 / $264.44 / $291.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.04 / $261.02 / $264.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.37 / $302.00 / $661.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.00 / $237.00 / $254.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.52 / $284.52 / $284.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.04 / $205.32 / $276.79