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South Carolina rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $6,606.93 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $11,220.18 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $8,709.64 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $15,135.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,244.36 / $7,943.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,709.64 / $17,378.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,317.64 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,495.41 / $8,317.64