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New York rates for HCPCS L0974

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.67 / $87.77 / $162.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.67 / $111.05 / $127.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.70 / $205.73 / $403.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.85 / $122.85 / $327.39
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.28 / $168.04 / $168.04
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.04 / $168.04 / $168.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $136.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $99.43 / $136.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.70 / $332.00 / $453.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.15 / $151.28 / $363.06
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.78 / $78.78 / $78.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.78 / $121.26 / $144.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $120.17 / $300.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.08 / $109.01 / $184.92
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.26 / $121.26 / $126.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.78 / $121.26 / $128.85