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South Carolina rates for HCPCS L6890

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.33 / $91.33 / $91.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.33 / $91.33 / $151.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.74 / $183.74 / $183.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $147.68 / $216.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.92 / $170.15 / $187.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $124.21 / $170.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.84 / $147.00 / $320.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $115.00 / $123.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $137.94 / $137.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $101.84 / $153.44