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South Carolina rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $99.38 / $99.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.33 / $99.38 / $175.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $147.51 / $213.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.42 / $121.82 / $134.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $120.73 / $121.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.24 / $144.00 / $315.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $113.00 / $121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $95.36 / $120.71