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South Carolina rates for HCPCS L0457

Tlso Flexible Provides Trunk Support Thoracic Region Rigid Posterior Panel And Soft Anterior Apron Extends From The Sacrococcygeal Junction Andterminates Just Inferior To The Scapular Spine Restricts Gross Trunk Motion In The Sagittal Planeproduces Intracavitary Pressure To Reduce Load On The Intervertebral Disks Includes Straps And Closures Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.87 / $433.87 / $6,973.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.49 / $433.87 / $811.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $277.37 / $1,027.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.58 / $736.58 / $813.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.70 / $537.70 / $762.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.25 / $737.58 / $1,619.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.99 / $942.99 / $942.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.13 / $814.13 / $814.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.03 / $571.40 / $804.67