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Washington, DC rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.39 / $38.39 / $38.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.39 / $38.39 / $38.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $48.75 / $48.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.97 / $60.97 / $186.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.62 / $140.62 / $140.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $46.79 / $87.60