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Washington, DC rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $48.98 / $61.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $162.18 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $104.71