go back

South Carolina rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.00 / $411.00 / $411.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.72 / $411.00 / $683.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.00 / $674.49 / $973.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.17 / $644.36 / $711.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $552.47 / $644.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.28 / $659.00 / $1,442.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.00 / $517.00 / $555.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.81 / $620.81 / $620.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.56 / $451.44 / $564.79