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South Carolina rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.84 / $1,357.84 / $1,357.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.28 / $1,357.84 / $2,259.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.00 / $2,525.48 / $3,652.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.99 / $1,952.91 / $2,156.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,825.28 / $1,952.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.68 / $2,175.00 / $4,766.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.00 / $1,698.00 / $1,698.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.03 / $2,051.03 / $2,051.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.21 / $1,514.26 / $2,027.18