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South Carolina rates for HCPCS L6310

Shoulder Disarticulation Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.27 / $1,727.27 / $1,727.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.50 / $1,727.27 / $2,873.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.00 / $2,817.74 / $4,092.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,719.60 / $3,141.52 / $3,468.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $2,321.87 / $3,141.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.16 / $2,766.00 / $6,063.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.00 / $2,171.00 / $2,333.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,609.05 / $2,609.05 / $2,609.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.02 / $1,926.25 / $2,737.79