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Arkansas 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
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $158.49
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
$173.78 / $173.78 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $208.93 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $120.23