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Washington, DC rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $36.31 / $51.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $109.65 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.02 / $70.79