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South Carolina rates for HCPCS L1001

Cervical Thoracic Lumbar Sacral Orthosis Immobolizer Infant Size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $61.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00