go back

Arkansas rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.08 / $78.08 / $78.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.26 / $78.08 / $81.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $160.52 / $178.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $143.04 / $185.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.88 / $185.88 / $185.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $112.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $89.11 / $109.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $66.95 / $111.16