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Maryland rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $41.55 / $77.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $68.11
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 / $71.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $99.64 / $143.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $49.70 / $79.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.06 / $51.06 / $69.75