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Delaware rates for HCPCS L1240

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $40.15 / $50.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.58 / $97.58 / $97.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $48.68 / $66.78