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Arkansas 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
Facility
Modifier
Low / Median / High Price
$161.35 / $161.35 / $161.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.21 / $161.35 / $161.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.59 / $331.66 / $368.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.73 / $287.73 / $308.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.73 / $287.73 / $287.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $232.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $226.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.08 / $326.08 / $383.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.70 / $135.04 / $182.13