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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
$73.40 / $108.19 / $210.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.18 / $174.04 / $314.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.44 / $160.59 / $218.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $116.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $85.07 / $208.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.02 / $127.88 / $947.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.14 / $89.87 / $135.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $89.87 / $135.38