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Arkansas rates for HCPCS L1230

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.95 / $355.95 / $355.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.33 / $355.95 / $371.59
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
$552.85 / $731.72 / $813.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.41 / $640.41 / $721.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.83 / $721.83 / $721.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $512.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $500.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $725.80 / $853.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $316.64 / $506.72