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Indiana rates for HCPCS L0700

Cervical-Thoracic-Lumbar-Sacral-Orthoses (Ctlso) Anterior- Posterior-Lateral Control Molded To Patient Model (Minerva Type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.17 / $1,187.17 / $2,398.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.67 / $1,232.83 / $1,301.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.89 / $2,146.75 / $2,398.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.00 / $1,387.19 / $1,914.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,956.11 / $2,638.46 / $3,597.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.81 / $2,638.46 / $3,238.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $2,398.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,703.99 / $2,460.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.52 / $1,143.28 / $1,693.23