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Alaska rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,584.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,691.53 / $3,630.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,630.78 / $8,317.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,630.78 / $3,801.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,630.78 / $3,715.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $3,090.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,513.56 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,818.38 / $9,332.54