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South Carolina rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.14 / $86.14 / $86.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.14 / $86.14 / $143.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $144.99 / $204.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.76 / $126.98 / $140.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $149.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.68 / $138.00 / $302.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $116.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $130.10 / $130.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $96.06 / $144.72