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Arizona rates for HCPCS L1210

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.90 / $157.22 / $258.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.19 / $372.78 / $673.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.97 / $343.96 / $451.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $139.19 / $341.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.94 / $262.62 / $1,539.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.79 / $147.07 / $221.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.91 / $147.07 / $221.53