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Arkansas rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $83.18 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $41.69 / $54.95