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South Carolina rates for HCPCS L1020

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $30.20 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $83.18 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $151.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $61.66 / $64.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $93.33 / $190.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $31.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $60.26 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $60.26 / $77.62