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South Carolina rates for HCPCS L0120

Cervical Flexible Non-Adjustable Prefabricated Off-The-Shelf (Foam Collar) (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $16.78 / $16.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.25 / $16.78 / $29.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $35.00 / $35.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $68.97 / $112.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.22 / $35.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $22.18 / $24.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $22.18 / $31.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.08 / $25.00 / $53.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $20.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $22.90 / $22.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $16.14 / $20.38