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Ohio 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 / $78.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.74 / $1,142.74 / $1,872.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.48 / $59,499.41 / $61,249.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.65 / $991.65 / $1,204.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00