go back

Texas 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
Facility
Modifier
Low / Median / High Price
$87.08 / $88.79 / $90.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.93 / $90.50 / $143.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.11 / $116.11 / $116.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.01 / $195.01 / $195.01
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 / $144.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.43 / $928.70 / $1,098.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.75 / $1,246.95 / $1,300.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.85 / $134.91 / $195.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $175.51 / $195.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.85 / $135.90 / $195.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $105.13 / $148.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.09 / $104.26 / $124.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.89 / $105.61 / $195.01