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South Carolina rates for HCPCS L6200

Elbow Disarticulation Molded Socket Outside Locking Hinge Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.79 / $1,464.79 / $1,464.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.93 / $1,464.79 / $2,437.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.00 / $2,389.10 / $3,470.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.30 / $2,694.60 / $2,975.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $1,967.06 / $2,499.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.08 / $2,346.00 / $5,142.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.00 / $1,841.00 / $1,978.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.59 / $2,212.59 / $2,212.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.03 / $1,633.54 / $2,461.25