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South Carolina rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.06 / $177.06 / $177.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.93 / $177.06 / $294.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $395.80 / $476.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $306.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $267.08 / $277.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.06 / $294.58 / $640.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.14 / $297.14 / $297.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.96 / $197.46 / $303.54