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Maryland 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
Professional
Modifier
Low / Median / High Price
$38.39 / $46.37 / $73.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $64.12
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 / $66.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $93.80 / $135.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.79 / $74.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.66 / $52.66 / $65.66