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California rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $60.00 / $60.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.01 / $989.99 / $2,617.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.74 / $1,142.74 / $1,142.74
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.10 / $340.26 / $499.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $57.00 / $60.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00