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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
$933.25 / $933.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,137.96 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $2,884.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,230.27 / $1,380.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $3,388.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,548.82 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,548.82