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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
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $144.54 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $89.13 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $194.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $112.20 / $123.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $120.23 / $269.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $45.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $81.28 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $95.50