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Washington, DC rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.78 / $40.78 / $40.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $40.78 / $40.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $68.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $51.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.77 / $64.77 / $197.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $49.70 / $104.55