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North Carolina 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
$560.76 / $560.76 / $967.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.43 / $560.76 / $560.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.41 / $949.95 / $1,169.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.03 / $480.31 / $480.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.14 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $931.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.26 / $560.76 / $728.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $360.00 / $435.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.70 / $1,024.70 / $1,575.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $319.49 / $481.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.35 / $3,405.00 / $3,405.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,239.22 / $4,239.22 / $6,404.10