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South Carolina rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.71 / $53.71 / $53.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.58 / $53.71 / $95.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $79.43 / $115.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.34 / $61.62 / $68.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $61.62 / $65.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.25 / $78.00 / $170.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $66.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $48.88 / $64.55