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Washington, DC rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.65 / $47.65 / $47.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.65 / $47.65 / $47.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $62.00 / $79.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $53.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.67 / $75.67 / $231.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $58.08 / $87.27