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Arizona rates for HCPCS L1210

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

Facilitymedian $324 · 10th–90th $102$7760%10%10th90th$324Professionalmedian $158 · 10th–90th $132$5890%20%40%10th90th$158$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$131.83 / $158.49 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $426.58 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $190.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $275.42 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $147.91 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $194.98 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $223.87