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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
$4,962.91 / $4,962.91 / $4,962.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,962.91 / $4,962.91 / $8,257.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,420.00 / $7,901.09 / $11,759.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,940.89 / $8,732.85 / $9,641.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $6,671.39 / $8,732.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,936.74 / $7,947.00 / $17,422.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,238.00 / $6,238.00 / $6,703.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,223.75 / $5,534.64 / $8,339.01