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South Carolina rates for HCPCS L6672

Upper Extremity Addition Harness Chest Or Shoulder Saddle Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.50 / $108.50 / $108.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.06 / $108.50 / $180.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $182.81 / $257.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.02 / $170.89 / $188.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $145.85 / $170.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.73 / $174.00 / $380.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $136.00 / $147.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.89 / $163.89 / $163.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.47 / $119.92 / $152.12