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Florida 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
$122.14 / $135.35 / $155.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.14 / $145.75 / $258.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.61 / $210.77 / $265.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $139.19 / $190.69
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.20 / $181.02 / $181.02
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $182.50 / $294.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.79 / $48.92 / $53.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.59 / $147.07 / $210.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.92 / $48.92 / $176.68