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South Carolina rates for HCPCS L6450

Elbow Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.49 / $1,664.49 / $1,664.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.60 / $1,664.49 / $2,769.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,155.00 / $2,716.88 / $3,944.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.10 / $2,717.61 / $3,000.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $2,237.48 / $2,717.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.71 / $2,666.00 / $5,843.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.00 / $2,092.00 / $2,248.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,514.22 / $2,514.22 / $2,514.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.59 / $1,846.11 / $2,781.52