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South Carolina rates for HCPCS L6320

Shoulder Disarticulation Passive Restoration (Shoulder Cap Only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.56 / $943.56 / $943.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.61 / $943.56 / $1,569.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.00 / $1,501.45 / $2,235.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.40 / $1,637.27 / $1,807.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.21 / $1,268.40 / $1,637.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.59 / $1,511.00 / $3,312.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.00 / $1,186.00 / $1,274.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.26 / $1,425.26 / $1,425.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.91 / $1,366.91 / $1,366.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.52 / $1,042.88 / $1,541.78