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Arizona rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $60.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.55 / $2,483.78 / $4,490.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.88 / $2,291.84 / $3,122.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00