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North Carolina rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.42 / $90.42 / $155.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $90.42 / $90.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.79 / $99.35 / $188.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.86 / $77.45 / $77.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.88 / $75.47 / $75.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $75.47 / $140.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.26 / $90.42 / $117.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $58.00 / $70.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $136.00 / $209.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $51.52 / $77.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.04 / $654.03 / $654.03
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.33 / $692.33 / $849.98