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North Carolina 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
$2,283.79 / $2,283.79 / $3,939.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.16 / $2,283.79 / $2,283.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.10 / $2,509.32 / $4,764.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.65 / $1,956.11 / $1,956.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.35 / $1,703.99 / $1,703.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,703.99 / $2,780.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.56 / $2,283.79 / $2,968.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.00 / $1,467.00 / $1,773.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,733.10 / $2,733.10 / $4,202.39
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
$940.47 / $1,289.57 / $1,886.71
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,075.23 / $14,424.99 / $14,424.99
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,576.83 / $14,576.83 / $17,082.23