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Maryland rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.27 / $46.53 / $87.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $77.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $52.33 / $71.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $113.06 / $162.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $56.41 / $89.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.20 / $56.20 / $79.14