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South Carolina rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.89 / $2,044.89 / $2,044.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.12 / $2,044.89 / $3,402.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,815.00 / $3,548.98 / $5,007.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $3,247.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $2,877.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.09 / $3,402.20 / $7,178.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,435.21 / $3,435.21 / $3,435.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,088.82 / $3,088.82 / $3,088.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.53 / $2,260.12 / $3,052.92