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Arizona 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
$30.03 / $42.19 / $83.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $71.20 / $128.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $65.70 / $89.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $109.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $52.32 / $377.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $35.75 / $54.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $35.75 / $53.86