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Texas 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
$42.67 / $43.51 / $44.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $44.35 / $64.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.90 / $56.90 / $56.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.55 / $95.55 / $95.55
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 / $52.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $377.30 / $377.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.97 / $472.97 / $537.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $63.85 / $95.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $80.81 / $95.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $63.85 / $95.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $56.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $44.08 / $51.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.94 / $43.10 / $95.55