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Nationwide rates for HCPCS L0470

Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.91 / $403.18 / $491.14	Facility	$399.91	$403.18	$491.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.85 / $409.06 / $550.80	Professional	$352.85	$409.06	$550.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.38 / $872.01 / $1,465.25	Facility	$744.38	$872.01	$1,465.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.12 / $437.46 / $618.59	Professional	$436.12	$437.46	$618.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $512.80	Facility	$512.80	$512.80	$512.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $501.79 / $528.19	Professional	$374.35	$501.79	$528.19
United Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $383.94 / $571.16	Professional	$296.39	$383.94	$571.16

Nationwide rates for HCPCS L0470

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