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South Carolina rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.03 / $1,919.03 / $1,919.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.37 / $1,919.03 / $3,395.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.00 / $2,953.68 / $4,219.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.01 / $2,326.75 / $2,568.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $2,331.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.36 / $2,778.00 / $6,089.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,169.00 / $2,169.00 / $2,169.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,619.99 / $2,619.99 / $2,619.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.55 / $1,840.69 / $2,331.59