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Arizona rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.11 / $55.08 / $90.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.15 / $130.60 / $236.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.37 / $120.50 / $164.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $75.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $55.09 / $140.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.26 / $92.00 / $539.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $51.52 / $83.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $51.52 / $77.59