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South Carolina rates for HCPCS L6920

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Switch Cables Two Batteries And One Charger Switch Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,583.34 / $3,583.34 / $3,583.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.82 / $3,583.34 / $5,961.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,635.00 / $5,843.51 / $8,490.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,567.50 / $6,541.83 / $7,222.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,816.91 / $6,541.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,564.45 / $5,738.00 / $12,579.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,504.00 / $4,504.00 / $4,840.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.11 / $10,680.11 / $10,680.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,049.65 / $3,996.14 / $6,020.97