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South Carolina rates for HCPCS L0700

Cervical-Thoracic-Lumbar-Sacral-Orthoses (Ctlso) Anterior- Posterior-Lateral Control Molded To Patient Model (Minerva Type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.89 / $1,290.89 / $1,290.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.74 / $1,290.89 / $2,283.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.00 / $1,902.46 / $2,766.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.59 / $1,703.99 / $1,881.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,568.42 / $1,703.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.73 / $1,869.00 / $4,096.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.00 / $1,467.00 / $1,576.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.41 / $1,762.41 / $1,762.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.45 / $1,230.98 / $1,568.04