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Alaska rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.27 / $224.27 / $224.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $136.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $136.19 / $145.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $64.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.28 / $248.72 / $392.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $136.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $145.19 / $244.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.54 / $250.34 / $326.54