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South Carolina rates for HCPCS L6655

Upper Extremity Addition Standard Control Cable Extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.97 / $43.97 / $43.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.76 / $43.97 / $73.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $73.84 / $105.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.79 / $59.82 / $66.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $59.12 / $59.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.74 / $71.00 / $154.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $59.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $66.42 / $66.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.21 / $120.21 / $120.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.42 / $48.60 / $67.77