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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
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $45.71 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $95.50 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $85.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $120.23 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $50.12 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $44.67 / $63.10