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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
$1,000.00 / $1,318.26 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,698.24 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,818.38 / $5,370.32
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 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,041.74 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,513.56 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,737.80