go back

North Carolina rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.36 / $270.36 / $466.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.82 / $270.36 / $270.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.56 / $297.07 / $564.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.99 / $231.57 / $231.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $225.30 / $225.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $444.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $270.36 / $351.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $174.00 / $209.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.30 / $345.30 / $530.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.55 / $154.04 / $241.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.57 / $1,822.29 / $1,822.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.35 / $2,161.35 / $2,161.35