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Maryland rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $104.71 / $158.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $89.13 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $107.15 / $169.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $181.97