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North Carolina 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
$83.67 / $83.67 / $144.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.51 / $83.67 / $83.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.05 / $141.72 / $174.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.46 / $71.66 / $71.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $59.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $109.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $83.67 / $108.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $64.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $132.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.01 / $47.24 / $74.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.30 / $377.30 / $377.30
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.97 / $472.97 / $537.53