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South Carolina rates for HCPCS L1240

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.99 / $54.55 / $96.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.19 / $99.19 / $99.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $80.69 / $116.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.09 / $62.81 / $69.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $66.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.25 / $79.00 / $173.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $62.00 / $67.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.47 / $74.47 / $74.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $50.92 / $66.28