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California rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.14 / $121.14 / $750.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.07 / $121.14 / $750.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.00 / $366.31 / $825.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $122.85 / $223.61
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $307.75 / $549.55
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $344.90 / $803.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.59 / $136.19 / $138.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $99.43 / $145.19
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.88 / $137.86 / $285.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.96 / $181.96 / $402.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.42 / $1,234.72 / $1,234.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.71 / $1,247.71 / $1,512.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.14 / $464.14 / $464.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $222.42 / $259.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $136.19 / $203.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.63 / $490.63 / $490.63
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.88 / $195.30 / $207.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $100.63 / $252.99