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South Carolina rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.59 / $45.59 / $45.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.44 / $45.59 / $80.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $68.08 / $97.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $65.20 / $72.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $63.81 / $79.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $66.00 / $144.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $52.00 / $56.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.24 / $62.24 / $62.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.64 / $42.83 / $55.39