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Nationwide rates for HCPCS L0464

Tlso Triplanar Control Modular Segmented Spinal System Four Rigid Plastic Shells Posterior Ext Ends From The Sacrococcygeal Junction And Terminates Just Inferior To The Scapular Spine Anterior Extends From The Symphysis Pubis To The Sternal Notch Soft Liner Restricts Gross Trunk Motion In The Sagittal Coronal And Tranverse Planes Lateralstrength Is Provided By Overlapping Plastic And Stabilizing Closures Includes Straps And Closures Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.72 / $1,011.51 / $1,399.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.74 / $960.89 / $1,244.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.01 / $1,871.21 / $3,496.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.17 / $968.81 / $1,401.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.20 / $1,162.20 / $1,433.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.41 / $1,133.66 / $1,433.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.62 / $872.06 / $1,340.94