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South Carolina rates for HCPCS L0830

Halo Procedure Cervical Halo Incorporated Into Milwaukee Type Orthosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.51 / $1,748.51 / $1,748.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.67 / $1,748.51 / $3,093.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.00 / $2,576.94 / $3,744.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.40 / $2,507.59 / $2,768.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.54 / $2,124.42 / $2,507.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.05 / $2,531.00 / $5,548.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.00 / $1,986.00 / $2,135.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,387.19 / $2,387.19 / $2,387.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.70 / $1,746.73 / $2,236.17