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Arkansas rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $67.20 / $67.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $67.20 / $67.20
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
$104.39 / $138.16 / $153.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.57 / $99.57 / $113.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.06 / $113.06 / $113.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $96.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $94.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $106.31 / $125.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $54.47 / $72.70