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South Carolina rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,905.46 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,467.37 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,570.40 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $4,466.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,995.26 / $2,137.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,630.27 / $5,623.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,398.83 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,698.24 / $2,398.83