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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
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.71 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $141.25 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $52.48 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $72.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $47.86 / $47.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $83.18 / $128.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $35.48 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $45.71 / $64.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $537.03