go back

Indiana rates for HCPCS L0974

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.21 / $104.21 / $210.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.98 / $108.22 / $120.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.33 / $188.44 / $210.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $122.85 / $169.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.97 / $231.61 / $315.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.97 / $231.61 / $284.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $210.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $136.19 / $215.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.08 / $104.11 / $151.61