go back

Florida 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
$46.21 / $51.21 / $58.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $51.21 / $97.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $83.66 / $83.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $71.93
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.64 / $68.47 / $68.47
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.15 / $69.00 / $111.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.59 / $62.45 / $68.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.60 / $53.32 / $64.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.45 / $62.45 / $62.45