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Washington rates for HCPCS L1100

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

Facilitymedian $204 · 10th–90th $138$4790%20%10th90th$204Professionalmedian $138 · 10th–90th $87$2950%10%20%10th90th$138$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $107.15 / $177.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $199.53 / $199.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $112.20
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $251.19 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $239.88 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $154.88 / $169.82
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $199.53 / $204.17
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $177.83 / $204.17
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $295.12 / $407.38
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $199.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $169.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $177.83 / $309.03