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Arizona rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.49 / $97.62 / $193.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.50 / $200.48 / $362.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.72 / $184.98 / $252.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.01 / $144.01 / $144.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $105.13 / $244.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.85 / $154.49 / $928.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.11 / $86.51 / $130.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.11 / $86.51 / $130.32