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Indiana 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
$60.01 / $60.01 / $121.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.04 / $60.01 / $65.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.78 / $108.51 / $121.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.15 / $62.90 / $86.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.77 / $129.08 / $169.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.05 / $133.36 / $163.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $121.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $75.47 / $114.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $57.79 / $81.02