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Florida 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
$47.65 / $52.81 / $60.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.71 / $52.81 / $100.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $48.75 / $67.62
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.76 / $70.65 / $70.65
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $71.00 / $115.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $72.86 / $80.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.18 / $117.18 / $117.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.82 / $62.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.86 / $72.86 / $72.86