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South Carolina rates for HCPCS L0710

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, with interface material, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,884.03 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $3,090.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,412.54 / $1,584.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,905.46 / $4,466.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,778.28