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South Carolina rates for HCPCS L6625

Upper Extremity Addition Rotation Wrist Unit With Cable Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.27 / $326.27 / $326.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.83 / $326.27 / $542.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $535.80 / $773.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.85 / $412.94 / $455.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $412.94 / $438.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.57 / $523.00 / $1,145.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.00 / $410.00 / $441.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.86 / $492.86 / $492.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.36 / $360.63 / $479.83