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California rates for HCPCS L1290

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.18 / $53.18 / $340.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.10 / $53.18 / $340.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.55 / $88.55 / $88.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.39 / $166.37 / $374.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.67 / $53.11 / $93.60
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $139.79 / $249.62
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.81 / $156.63 / $364.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.22 / $60.55 / $63.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $64.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.11 / $75.73 / $129.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.84 / $82.64 / $182.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.76 / $560.79 / $560.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.93 / $965.57 / $965.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.90 / $265.90 / $265.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $98.06 / $119.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $60.55 / $88.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.84 / $222.84 / $222.84
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.11 / $94.45 / $94.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.35 / $118.06 / $118.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $44.25 / $112.16