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South Carolina rates for HCPCS L6883

Replacement Socket Below Elbow/Wrist Disarticulation Molded To Patient Model For Use With Or With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.04 / $852.04 / $852.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.04 / $852.04 / $1,417.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.00 / $1,808.08 / $2,292.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $1,551.30 / $1,712.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,145.36 / $1,551.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.56 / $1,393.72 / $2,991.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.72 / $1,393.72 / $1,393.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.03 / $1,287.03 / $1,287.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.14 / $950.20 / $1,431.67