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Arizona 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
$23.86 / $24.34 / $43.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.32 / $51.73 / $93.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $47.73 / $65.03
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 / $53.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $41.18 / $237.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $22.32 / $33.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $22.32 / $33.61