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Texas rates for HCPCS L1001

Cervical Thoracic Lumbar Sacral Orthosis Immobolizer Infant Size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.79 / $1,003.79 / $1,003.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $76.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $70.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.74 / $1,142.74 / $1,142.74