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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
$30.90 / $44.67 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $45.71 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $144.54
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 / $52.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $52.48 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $35.48 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $43.65 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $35.48 / $53.70