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South Carolina rates for HCPCS L0174

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $89.13 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $309.03 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $218.78 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $389.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $208.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $245.47 / $524.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $194.98 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $208.93