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Indiana rates for HCPCS L1210

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.90 / $145.90 / $294.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.29 / $151.51 / $158.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.35 / $206.35 / $240.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.88 / $263.83 / $294.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.81 / $176.99 / $243.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.09 / $324.26 / $442.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.56 / $324.26 / $397.95
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 / $302.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $147.07 / $215.29