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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
$53.11 / $53.11 / $53.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $53.11 / $53.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.48 / $109.17 / $121.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $71.67 / $95.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $71.67 / $71.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $76.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $74.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.24 / $44.08 / $63.85