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South Carolina rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.53 / $123.53 / $123.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.53 / $123.53 / $218.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $182.81 / $264.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.16 / $185.61 / $204.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $150.09 / $185.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.07 / $179.00 / $391.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.00 / $151.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.65 / $168.65 / $168.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.32 / $123.41 / $157.97