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Indiana 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
$46.70 / $46.70 / $94.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.85 / $46.70 / $50.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.53 / $84.43 / $94.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.97 / $43.10 / $59.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $103.77 / $141.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.19 / $103.77 / $127.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $94.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $82.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $45.59 / $63.03