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South Carolina rates for HCPCS L6688

Upper Extremity Addition Frame Type Socket Above Elbow Or Elbow Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.83 / $307.83 / $307.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.66 / $307.83 / $512.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.32 / $619.32 / $619.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $492.28 / $729.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.49 / $528.47 / $583.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.78 / $413.82 / $528.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.22 / $493.00 / $1,080.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.00 / $387.00 / $416.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.99 / $464.99 / $464.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.37 / $340.24 / $477.94