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North Carolina rates for HCPCS L1230

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

Facilitymedian $562 · 10th–90th $288–$1,2590%20%10th90th$562Professionalmedian $427 · 10th–90th $288–$5620%20%10th90th$427$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $407.38 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $489.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $323.59 / $478.63
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $316.23 / $478.63
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,456.54