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South Carolina rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $40.74 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $91.20 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $48.98 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $91.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $51.29 / $57.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $64.57 / $128.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $58.88 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $60.26