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South Carolina rates for HCPCS L1000

Cervical-Thoracic-Lumbar-Sacral Orthosis (Ctlso) (Milwaukee) Inclusive Of Furnishing Initial Orthosis Including Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.05 / $1,132.05 / $1,132.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.19 / $1,132.05 / $2,002.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.00 / $1,667.95 / $2,424.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,499.97 / $1,656.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,375.44 / $1,499.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.81 / $1,639.00 / $3,592.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.00 / $1,286.00 / $1,382.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.56 / $1,545.56 / $1,545.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.72 / $1,130.90 / $1,447.79