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South Carolina rates for HCPCS L6692

Upper Extremity Addition Silicone Gel Insert Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.27 / $300.27 / $300.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.27 / $300.27 / $499.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $491.69 / $711.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.94 / $419.41 / $463.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $488.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.68 / $481.00 / $1,054.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.00 / $377.00 / $406.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.55 / $453.55 / $453.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $334.86 / $504.53