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South Carolina rates for HCPCS L6647

Upper Extremity Addition Shoulder Lock Mechanism Body Powered Actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $281.93 / $281.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.24 / $281.93 / $469.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.23 / $630.23 / $758.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.75 / $405.51 / $447.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $378.98 / $405.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.45 / $452.00 / $989.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.00 / $353.00 / $353.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.86 / $425.86 / $425.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $311.61 / $420.92