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South Carolina rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.94 / $1,241.94 / $1,241.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.83 / $1,241.94 / $2,066.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $1,891.11 / $2,945.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,972.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,669.48 / $1,786.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.36 / $2,025.37 / $4,359.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.48 / $2,031.48 / $2,031.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.96 / $1,875.96 / $1,875.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.52 / $1,372.66 / $1,854.16