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Washington rates for HCPCS L1499

Spinal orthosis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.50 / $1,718.81 / $1,718.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.20 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $108.50 / $124.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.96 / $967.96 / $967.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $76.50 / $93.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.43 / $1,071.43 / $1,071.43
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.43 / $1,071.43 / $1,071.43