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Washington, DC rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.33 / $29.33 / $29.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $29.33 / $29.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $38.00 / $48.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $38.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $46.59 / $142.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $35.75 / $75.20