go back

Maryland rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.72 / $1,086.19 / $1,806.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.00 / $1,239.00 / $1,579.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,094.98 / $1,499.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.48 / $2,310.67 / $3,327.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.10 / $1,152.77 / $1,837.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.30 / $1,370.30 / $1,617.48