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South Carolina rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $25 · 10th–90th $18–$560%10%20%10th90th$25Professionalmedian $22 · 10th–90th $16–$330%10%20%10th90th$22$20.0$50.0$100.0$200.0$500.0$1.0K

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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $38.02 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $31.62 / $63.10
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $21.38 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $18.62 / $25.12