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South Carolina rates for HCPCS L6360

Interscapular Thoracic Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.43 / $1,891.43 / $1,891.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.29 / $1,891.43 / $3,146.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,450.00 / $3,088.80 / $4,481.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.00 / $3,297.39 / $3,640.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $2,542.55 / $3,297.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.46 / $3,029.00 / $6,640.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.00 / $2,377.00 / $2,555.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.02 / $2,857.02 / $2,857.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.37 / $2,090.51 / $2,873.64