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South Carolina rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.70 / $309.70 / $309.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $309.70 / $515.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $510.59 / $733.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.33 / $432.60 / $477.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $416.32 / $432.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.08 / $496.00 / $1,087.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.00 / $389.00 / $418.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.81 / $467.81 / $467.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $520.39 / $546.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.58 / $345.39 / $520.39