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Indiana 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
$92.71 / $92.71 / $187.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $92.71 / $100.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.97 / $167.64 / $187.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.27 / $83.85 / $115.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.75 / $196.68 / $262.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.21 / $206.04 / $252.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $187.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $89.11 / $164.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $90.53 / $125.16