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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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $398.11 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $245.47 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $467.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $218.78 / $229.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $288.40 / $549.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $109.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $251.19 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $199.53 / $257.04