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Arizona rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.29 / $50.03 / $87.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.83 / $118.61 / $214.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.09 / $109.45 / $149.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $52.33 / $140.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.21 / $87.16 / $496.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $46.79 / $70.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.29 / $46.79 / $70.48