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South Carolina rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.75 / $116.75 / $116.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.75 / $116.75 / $194.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $195.41 / $276.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.24 / $225.10 / $248.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $225.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.14 / $187.00 / $409.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $147.00 / $158.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.35 / $176.35 / $176.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $196.18 / $206.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.36 / $130.21 / $196.18