go back

South Carolina rates for HCPCS L3984

Upper Extremity Fracture Orthosis Wrist Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.46 / $222.46 / $222.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.61 / $222.46 / $393.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.14 / $292.14 / $346.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $327.78 / $476.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.18 / $237.10 / $261.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $225.12 / $270.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.61 / $322.00 / $705.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $253.00 / $272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.47 / $210.16 / $270.29