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South Carolina rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.56 / $78.56 / $78.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $78.56 / $130.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $132.38 / $186.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.20 / $113.00 / $124.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $105.60 / $113.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.14 / $126.00 / $275.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $99.00 / $106.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.66 / $118.66 / $118.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $87.61 / $131.99