go back

Indiana rates for HCPCS L1050

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $59.84 / $120.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $59.84 / $64.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $108.20 / $120.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.93 / $56.34 / $77.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.63 / $126.93 / $169.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.76 / $132.97 / $163.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $120.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $105.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.08 / $150.08 / $150.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $55.76 / $80.77