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Arizona rates for HCPCS L0974

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.98 / $118.75 / $235.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.25 / $246.55 / $445.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.61 / $227.48 / $309.94
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 / $99.43 / $244.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $177.21 / $1,062.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.86 / $100.63 / $151.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.95 / $100.63 / $151.58