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Indiana 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
$1,305.01 / $1,305.01 / $2,636.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.82 / $1,308.41 / $1,430.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,082.98 / $2,359.84 / $2,636.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.73 / $1,655.92 / $2,235.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,135.21 / $2,900.36 / $3,955.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.19 / $2,900.36 / $3,559.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.06 / $1,549.06 / $2,636.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,549.06 / $2,704.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.55 / $1,271.65 / $1,768.61