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Texas rates for HCPCS L1120

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

Facilitymedian $40 · 10th–90th $22–$1950%10%10th90th$40Professionalmedian $24 · 10th–90th $20–$370%50%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
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $34.67
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $29.51
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $39.81 / $69.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $53.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $33.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $39.81 / $69.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $31.62 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.92 / $32.36
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $53.70 / $53.70