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California rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.63 / $384.63 / $1,929.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.20 / $384.63 / $1,929.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.08 / $1,025.09 / $2,122.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.02 / $386.27 / $747.52
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $791.68 / $1,413.72
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $887.24 / $2,066.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.77 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $292.12 / $412.16
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.61 / $167.53 / $735.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.21 / $468.08 / $1,016.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.67 / $3,405.00 / $3,405.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,239.22 / $4,239.22 / $6,404.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.84 / $1,312.84 / $1,312.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.26 / $580.85 / $677.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $609.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.14 / $1,262.14 / $1,262.14
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.61 / $237.34 / $534.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $853.88 / $853.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.39 / $319.49 / $668.69