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Alaska rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.95 / $89.95 / $89.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $29.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $21.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $14.41 / $14.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.61 / $99.75 / $157.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $14.41 / $29.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $41.08 / $64.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.75 / $100.41 / $130.97