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Indiana rates for HCPCS L1000

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.24 / $1,209.24 / $2,443.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.73 / $1,219.13 / $1,312.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.11 / $2,186.65 / $2,443.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.88 / $1,339.39 / $1,848.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.39 / $2,687.50 / $3,430.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,076.69 / $2,687.50 / $3,298.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $2,443.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $2,506.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,180.84 / $1,717.16