go back

California rates for HCPCS L0710

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.15 / $1,413.15 / $9,051.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.81 / $1,413.15 / $9,051.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.11 / $4,420.91 / $9,958.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.26 / $1,480.00 / $2,452.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $3,714.14 / $6,632.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $4,162.51 / $9,695.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.33 / $1,549.06 / $1,676.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,130.81 / $1,595.53
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.20 / $1,243.44 / $3,450.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.31 / $2,196.03 / $4,768.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,457.89 / $14,901.61 / $14,901.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,058.46 / $15,058.46 / $17,732.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,105.52 / $5,105.52 / $5,105.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.80 / $2,515.42 / $3,137.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,549.06 / $2,559.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,921.31 / $5,921.31 / $5,921.31
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.20 / $1,761.54 / $2,509.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.30 / $1,173.83 / $2,828.41