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South Carolina rates for HCPCS L1280

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.15 / $49.15 / $49.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.16 / $49.15 / $86.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $73.12 / $105.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.22 / $73.27 / $80.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $59.71 / $73.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.18 / $72.00 / $155.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $56.00 / $60.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $67.09 / $67.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.02 / $48.49 / $64.65