go back

South Carolina rates for HCPCS L1210

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.90 / $145.90 / $145.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.90 / $145.90 / $258.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.30 / $265.30 / $265.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $215.58 / $312.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.29 / $190.69 / $210.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $177.27 / $190.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.18 / $212.00 / $462.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $166.00 / $178.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.19 / $199.19 / $199.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.69 / $145.75 / $196.97