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Alaska rates for HCPCS L0710

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, with interface material, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,747.14 / $2,747.14 / $2,747.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.06 / $1,549.06 / $1,549.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,549.06 / $1,595.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.80 / $757.80 / $757.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,443.92 / $3,046.56 / $4,810.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.80 / $757.80 / $1,549.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,595.53 / $2,986.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.97 / $3,066.46 / $3,999.74