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Arizona rates for HCPCS L1220

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

Facilitymedian $269 · 10th–90th $87–$6760%10%10th90th$269Professionalmedian $148 · 10th–90th $112–$3800%20%40%10th90th$148$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
$112.20 / $147.91 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $363.08 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $331.13 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $186.21
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $223.87 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $125.89 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $194.98 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $186.21