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Alaska rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $123.03 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $114.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $181.97 / $239.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $616.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $239.88 / $251.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $245.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $112.20 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $616.60