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South Carolina rates for HCPCS L6650

Upper Extremity Addition Shoulder Universal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.75 / $223.75 / $223.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.36 / $223.75 / $372.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $365.62 / $530.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.77 / $280.67 / $309.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $300.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.27 / $359.00 / $785.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.00 / $281.00 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.97 / $337.97 / $337.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.35 / $244.00 / $305.38