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Washington, DC rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.26 / $115.26 / $115.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.26 / $115.26 / $115.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $151.00 / $151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $135.50 / $135.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.05 / $183.05 / $559.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.66 / $140.49 / $218.68