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Washington, DC rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.61 / $942.61 / $942.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.61 / $942.61 / $942.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $1,574.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,243.91 / $1,243.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.00 / $1,497.00 / $4,571.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.99 / $1,148.98 / $2,150.94