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Arizona rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $112.20 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $134.90 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $104.71 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $134.90