go back

Maryland rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.73 / $993.59 / $1,777.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.51 / $1,269.51 / $1,554.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $949.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.84 / $2,274.06 / $3,274.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.83 / $1,134.50 / $1,808.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.95 / $1,246.95 / $1,591.84