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South Carolina rates for HCPCS L6676

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Dual Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.54 / $74.54 / $74.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.54 / $74.54 / $124.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $145.56 / $145.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.07 / $176.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $97.54 / $107.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $97.54 / $100.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.14 / $120.00 / $261.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $94.00 / $101.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.97 / $82.38 / $109.41