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Washington, DC rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.92 / $19.92 / $19.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.92 / $19.92 / $19.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $33.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $21.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.63 / $31.63 / $96.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $24.28 / $36.47