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Arizona 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
$1,132.05 / $1,219.85 / $2,002.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.91 / $2,644.03 / $4,780.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.78 / $2,439.71 / $3,324.11
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 / $1,094.98 / $2,832.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.66 / $2,037.70 / $12,090.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.30 / $1,141.07 / $1,718.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.33 / $1,141.07 / $1,718.88