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California rates for HCPCS L0482

Tlso Triplanar Control One Piece Rigid Plastic Shell With Interface Liner Multiple Straps And Closures Posterior Extends From Sacrococcygeal Junction And Terminates Just Inferior To Scapular Spine Anterior Extends From Symphisis Pubis To Sternal Notch Anterior Or Poterior Opening Restricts Gross Trunk Motion In Sagittal Coronal And Transverse Planes Includes A Carved Plaster Or Cad-Cam Model Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.26 / $1,049.26 / $5,996.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.77 / $1,049.26 / $5,996.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.79 / $3,000.08 / $6,597.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.68 / $1,069.65 / $1,890.53
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $2,460.69 / $4,394.10
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $2,757.79 / $6,423.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.13 / $1,108.41 / $1,111.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.14 / $809.14 / $1,181.61
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.01 / $1,333.21 / $2,286.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.08 / $1,454.94 / $3,159.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,126.64 / $9,872.78 / $9,872.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,100.47 / $11,100.47 / $16,188.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.19 / $5,246.19 / $5,246.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.66 / $1,747.03 / $2,078.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.14 / $1,108.41 / $1,818.89
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,923.03 / $3,923.03 / $3,923.03
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.01 / $1,662.78 / $1,666.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.84 / $871.57 / $1,888.59