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Arkansas rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.56 / $158.56 / $158.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.41 / $158.56 / $158.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.28 / $325.95 / $362.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.59 / $249.59 / $281.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.61 / $281.61 / $281.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $228.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $185.61 / $222.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $128.51 / $171.51