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South Carolina rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.86 / $1,683.86 / $1,683.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.13 / $1,683.86 / $2,801.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.48 / $3,064.44 / $4,378.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.80 / $2,264.80 / $2,500.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,263.51 / $2,264.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.98 / $2,697.00 / $5,911.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.00 / $2,106.00 / $2,106.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.40 / $1,861.09 / $2,513.88