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Indiana rates for HCPCS L1120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.68 / $22.68 / $45.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $23.55 / $25.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.20 / $41.01 / $45.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $26.20 / $36.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.89 / $50.40 / $68.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $50.40 / $61.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $45.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $47.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $22.32 / $33.63