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Delaware rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $29.51 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $37.15 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.02 / $54.95