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North Carolina 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
$258.12 / $258.12 / $445.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.16 / $258.12 / $258.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.64 / $175.64 / $265.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.34 / $283.61 / $538.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.23 / $221.08 / $221.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.35 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $190.69 / $341.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.94 / $258.12 / $335.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $166.00 / $200.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.10 / $467.10 / $725.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.99 / $147.07 / $225.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.55 / $1,866.94 / $1,866.94
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,966.23 / $1,966.23 / $2,947.80