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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
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $61.66 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $123.03 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $63.10 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $128.82 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $72.44 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $57.54 / $81.28