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Maryland rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.94 / $41.53 / $76.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $52.00 / $66.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $44.98 / $61.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.31 / $97.58 / $140.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $48.68 / $77.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.77 / $48.77 / $68.31