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South Carolina rates for HCPCS L6930

Below elbow, 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
$3,605.56 / $3,605.56 / $3,605.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,507.44 / $3,605.56 / $5,998.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,665.00 / $5,881.34 / $8,543.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,589.60 / $6,300.68 / $6,956.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,846.78 / $6,300.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,586.55 / $5,774.00 / $12,657.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,532.00 / $4,532.00 / $4,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,707.42 / $4,020.92 / $6,058.30