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Maryland 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
Professional
Modifier
Low / Median / High Price
$942.61 / $1,105.63 / $1,907.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $1,574.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $1,703.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,243.91 / $1,703.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.16 / $2,303.08 / $3,316.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.99 / $1,148.98 / $1,831.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.53 / $1,364.53 / $1,612.16