go back

Ohio 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
$57.38 / $57.38 / $170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $57.38 / $61.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $117.50 / $304.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.47 / $52.58 / $138.86
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $90.80 / $90.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.73 / $106.82 / $144.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.76 / $103.52 / $228.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $134.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $48.75 / $85.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $66.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $62.31 / $81.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $99.60 / $117.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $50.17 / $67.81