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Arkansas 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
Facility
Modifier
Low / Median / High Price
$55.52 / $55.52 / $55.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.65 / $55.52 / $57.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.24 / $114.14 / $126.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.80 / $93.80 / $115.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.80 / $93.80 / $93.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $79.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $78.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $99.60 / $117.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $45.36 / $60.07