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South Carolina rates for HCPCS L1025

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $70.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $70.80 / $125.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $104.65 / $151.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.70 / $89.11 / $98.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $86.01 / $89.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.65 / $103.00 / $224.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $86.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $70.09 / $95.57