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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
$46.27 / $46.27 / $46.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.27 / $46.27 / $46.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $77.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $52.33 / $52.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $224.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.08 / $150.08 / $150.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $56.41 / $84.75