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Washington, DC rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.65 / $120.65 / $120.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.65 / $120.65 / $120.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.00 / $158.00 / $201.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $139.19 / $139.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.61 / $191.61 / $585.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $147.07 / $220.97