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South Carolina rates for HCPCS L6623

Upper Extremity Addition Spring Assisted Rotational Wrist Unit With Latch Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.23 / $459.23 / $459.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.96 / $459.23 / $764.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.00 / $750.14 / $1,088.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.20 / $496.34 / $548.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $617.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.81 / $736.00 / $1,265.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.00 / $577.00 / $620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.08 / $500.79 / $617.16