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Washington, DC rates for HCPCS L0472

Tlso Triplanar Control Hyperextension Rigid Anterior And Lateral Frame Extends From Symphysis Pubis To Sternal Notch With Two Anterior Components (One Pubic And One Sternal) Posterior And Lateral Pads With Straps And Closures Limits Spinal Flexion Restricts Gross Trunk Motion In Sagittal Coronal And Transverse Planes Includes Fitting And Shaping The Frame Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.44 / $186.44 / $186.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.44 / $186.44 / $186.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.30 / $254.30 / $254.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.82 / $216.82 / $216.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.08 / $296.08 / $904.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.51 / $227.26 / $341.46