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Alaska rates for HCPCS L1230

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.79 / $552.79 / $552.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $412.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.26 / $206.26 / $206.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.39 / $613.04 / $967.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.26 / $206.26 / $400.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $412.16 / $750.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $617.05 / $804.86