go back

Arizona rates for HCPCS L1025

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $70.80 / $125.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.92 / $165.89 / $299.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.80 / $153.06 / $208.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $89.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $217.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $120.79 / $757.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.28 / $70.09 / $105.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $70.09 / $105.57