go back

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
$3,190.71 / $3,190.71 / $3,190.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $1,599.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.66 / $736.66 / $736.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,602.46 / $3,538.47 / $5,587.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.66 / $736.66 / $1,499.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,599.03 / $2,902.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.24 / $3,561.58 / $4,645.55