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Washington, DC rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $52.00 / $52.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $45.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $193.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.46 / $48.68 / $73.15