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South Carolina rates for HCPCS L1230

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.97 / $316.97 / $316.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.12 / $316.97 / $560.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.00 / $467.73 / $678.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.22 / $400.16 / $441.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $385.12 / $400.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.98 / $459.00 / $1,005.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $360.00 / $387.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.74 / $432.74 / $432.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.88 / $853.88 / $853.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.57 / $319.49 / $430.71