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South Carolina rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.57 / $1,421.57 / $1,421.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.57 / $1,421.57 / $2,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.00 / $2,264.48 / $3,368.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.20 / $2,476.09 / $2,733.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,910.95 / $2,476.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.08 / $2,277.00 / $4,990.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.00 / $1,787.00 / $1,920.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.30 / $2,147.30 / $2,147.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.84 / $1,585.34 / $2,388.62