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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
$30.95 / $30.95 / $30.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $30.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $51.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.15 / $49.15 / $150.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.15 / $37.72 / $56.68