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Washington, DC rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.08 / $76.08 / $76.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.08 / $76.08 / $76.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $65.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.82 / $120.82 / $368.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.82 / $92.73 / $195.05