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Washington, DC rates for HCPCS L1250

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), A

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 / $66.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $44.98 / $44.98
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 / $47.66 / $75.77