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Nationwide rates for HCPCS L4000

Replace girdle for spinal orthosis (cervical-thoracic-lumbar-sacral orthosis (CTLSO) or spinal orthosis SO)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $891.25 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $870.96 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $851.14 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,230.27