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Alaska rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Facilitymedian $437 · 10th–90th $204–$6760%20%40%10th90th$437Professionalmedian $457 · 10th–90th $316–$8910%10%10th90th$457$100.0$200.0$500.0$1.0K$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
$316.23 / $436.52 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $758.58
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $616.60 / $676.08
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $630.96 / $1,949.84
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $630.96 / $660.69
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $660.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $741.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $398.11 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $489.78 / $1,621.81