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Alaska rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.71 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $56.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $64.57 / $74.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $223.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $74.13 / $77.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $75.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $54.95 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $56.23 / $190.55