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South Carolina rates for HCPCS L6615

Upper Extremity Addition Disconnect Locking Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.90 / $102.90 / $102.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.99 / $102.90 / $171.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.01 / $207.01 / $207.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $170.19 / $243.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.45 / $175.58 / $193.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $138.33 / $175.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.36 / $165.00 / $361.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $129.00 / $139.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.43 / $155.43 / $155.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.69 / $114.76 / $156.72