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South Carolina rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $75.86 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $141.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $89.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $87.10 / $194.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $64.57 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $51.29 / $69.18