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Alabama rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.86 / $265.86 / $265.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.85 / $265.86 / $265.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.34 / $180.34 / $180.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $294.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $190.69 / $258.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $145.75 / $221.53