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South Carolina rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,570.40 / $3,715.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,365.16 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,548.13 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $6,025.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,311.31 / $3,630.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,388.44 / $8,128.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,235.94 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $3,311.31