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Washington, DC 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
$962.99 / $962.99 / $962.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.99 / $962.99 / $962.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.00 / $1,262.00 / $1,262.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,130.81 / $1,130.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.38 / $1,529.38 / $4,670.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.55 / $1,173.83 / $1,827.12