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Arkansas rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $54.95 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $54.95 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $120.23 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $52.48 / $69.18