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Texas 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
$62.74 / $63.97 / $65.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.70 / $65.20 / $105.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.65 / $83.65 / $83.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.49 / $140.49 / $140.49
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 / $89.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.36 / $830.82 / $830.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.09 / $899.09 / $1,404.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $97.90 / $140.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $129.25 / $140.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $93.87 / $140.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $94.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.41 / $86.40 / $100.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.85 / $84.16 / $140.49