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South Carolina rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.21 / $55.21 / $55.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.73 / $55.21 / $97.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $81.95 / $118.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.67 / $71.02 / $78.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $67.06 / $71.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.26 / $80.00 / $175.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $67.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.36 / $75.36 / $75.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.43 / $50.23 / $65.06