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South Carolina rates for HCPCS L8010

Breast Prosthesis Mastectomy Sleeve (Special Coverage Instructions Apply. See Mcm: 2130 A)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $57.75 / $72.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.15 / $31.28 / $62.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00