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South Carolina rates for HCPCS L1110

Addition To Ctlso Or Scoliosis Orthosis Ring Flange Plastic Or Leather Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.82 / $152.82 / $152.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $152.82 / $270.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $225.67 / $327.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.52 / $225.30 / $248.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $185.68 / $225.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.40 / $222.00 / $484.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $174.00 / $187.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.64 / $208.64 / $208.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.64 / $383.64 / $383.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.69 / $147.16 / $193.51