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Alaska rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.44 / $411.44 / $411.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $225.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $232.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $92.67 / $92.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.89 / $456.29 / $720.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $92.67 / $225.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $232.06 / $365.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.13 / $459.25 / $599.03