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South Carolina rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,989.26 / $1,989.26 / $1,989.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.57 / $1,989.26 / $3,309.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.00 / $4,446.72 / $5,558.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.78 / $3,060.59 / $3,379.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $2,799.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.78 / $3,186.00 / $6,983.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.00 / $2,488.00 / $2,840.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,004.81 / $3,004.81 / $3,004.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.59 / $2,218.42 / $3,037.41