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North Carolina rates for HCPCS L1270

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

Facilitymedian $98 · 10th–90th $42–$1950%10%20%10th90th$98Professionalmedian $58 · 10th–90th $42–$980%20%10th90th$58$0.1$1.0$10.0$100.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $54.95 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $72.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $44.67 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $97.72 / $154.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $43.65 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $52.48 / $75.86
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83