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South Carolina rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.02 / $186.02 / $186.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.02 / $186.02 / $309.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.00 / $308.89 / $440.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.21 / $274.52 / $303.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $250.07 / $274.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.04 / $298.00 / $653.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $251.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.98 / $280.98 / $280.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.68 / $206.69 / $311.43