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Arizona rates for HCPCS L1120

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

Facilitymedian $49 · 10th–90th $14–$1200%10%10th90th$49Professionalmedian $24 · 10th–90th $20–$480%20%40%10th90th$24$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $58.88 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $53.70 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $40.74 / $239.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $46.77 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $33.88