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Thoracic, Rib Belt, Custom Fabricated

Washington rates for HCPCS L0220

Thoracic, rib belt, custom fabricated

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $100$3160%20%10th90th$148Professionalmedian $123 · 10th–90th $76$2950%10%10th90th$123$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$295.12
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$147.91
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$87.10
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$173.78
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$125.89
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$147.91
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$162.18
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$295.12
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$144.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$128.82
Typical High
$229.09