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South Carolina rates for HCPCS L6693

Upper Extremity Addition Locking Elbow Forearm Counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.50 / $1,541.50 / $1,541.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.73 / $1,541.50 / $2,564.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,136.00 / $2,703.85 / $3,862.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.77 / $2,217.07 / $2,447.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $2,072.17 / $2,217.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.37 / $2,469.00 / $5,411.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.00 / $1,928.00 / $2,082.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.33 / $2,301.38 / $2,353.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.52 / $1,703.75 / $2,301.38