go back

Maryland rates for HCPCS L1025

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.93 / $76.08 / $125.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $127.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $89.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $89.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.12 / $185.88 / $267.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $92.73 / $147.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.16 / $84.16 / $130.12