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North Carolina 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
$97.67 / $97.67 / $168.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.62 / $97.67 / $97.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $67.70 / $67.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.42 / $107.31 / $203.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.58 / $83.66 / $83.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.98 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $131.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.45 / $97.14 / $126.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $75.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.30 / $102.30 / $157.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.10 / $52.94 / $78.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.29 / $480.51 / $480.51
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.38 / $511.38 / $639.23