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Alaska rates for HCPCS L0467

Thoracic-lumbar-sacral orthosis (TLSO), sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf

Facilitymedian $93 · 10th–90th $93$4790%50%90th$93Professionalmedian $234 · 10th–90th $148$4790%10%10th90th$234$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$562.34
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$478.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$478.63
Typical High
$758.58
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$478.63
Typical High
$501.19
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$524.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$309.03
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$707.95