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Arkansas 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
Facility
Modifier
Low / Median / High Price
$1,384.28 / $1,384.28 / $1,384.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.91 / $1,384.28 / $1,384.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.00 / $2,845.59 / $3,161.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,352.89 / $2,352.89 / $2,846.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,352.89 / $2,352.89 / $2,352.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.06 / $1,549.06 / $1,992.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,549.06 / $1,945.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.55 / $1,158.63 / $1,582.44