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South Carolina rates for HCPCS L6645

Upper Extremity Addition Shoulder Flexion-Abduction Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.51 / $215.51 / $215.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.68 / $215.51 / $358.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $344.60 / $510.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.56 / $305.27 / $337.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.85 / $289.70 / $305.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $346.00 / $756.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.00 / $271.00 / $291.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.53 / $325.53 / $325.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.30 / $235.64 / $289.70