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South Carolina rates for HCPCS L6640

Upper Extremity Additions Shoulder Abduction Joint Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.20 / $179.20 / $179.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.54 / $179.20 / $298.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $296.27 / $424.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.41 / $244.07 / $269.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $240.88 / $244.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.25 / $287.00 / $577.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $225.00 / $242.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.68 / $270.68 / $270.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.26 / $448.26 / $448.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.77 / $196.99 / $252.71