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South Carolina rates for HCPCS L7190

Electronic Elbow Adolescent Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,144.71 / $4,144.71 / $4,144.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,144.71 / $4,144.71 / $6,895.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,360.00 / $6,596.55 / $9,820.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,126.30 / $6,553.03 / $7,235.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $5,571.52 / $6,553.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.85 / $6,637.00 / $14,550.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.00 / $5,210.00 / $5,598.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,112.27 / $4,580.96 / $6,815.55