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South Carolina rates for HCPCS L0452

Tlso Flexible Provides Trunk Support Upper Thoracic Region Produces Intracavitary Pressure To Reduce Load On The Intevertebral Disks With Rigid S Tays Or Panel(S) Includes Shoulder Straps And Closures Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $236.15 / $395.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.70 / $223.29 / $223.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $163.00 / $163.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $238.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $1,191.00 / $1,191.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.76 / $170.65 / $255.97