go back

Maryland rates for HCPCS L1280

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.65 / $47.91 / $86.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $62.00 / $79.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $73.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $116.42 / $167.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $58.08 / $92.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.22 / $58.22 / $81.48