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Alaska rates for HCPCS L1040

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar or lumbar rib pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.38 / $130.38 / $130.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $71.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $28.31 / $28.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.27 / $144.61 / $228.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $28.31 / $66.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $71.18 / $111.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.17 / $113.90 / $189.84