go back

North Carolina 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
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $54.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00