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Indiana 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
$397.83 / $397.83 / $803.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.35 / $397.83 / $431.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.99 / $719.38 / $803.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.02 / $375.02 / $517.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.35 / $843.97 / $1,125.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.21 / $884.16 / $1,085.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $803.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $704.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.66 / $1,024.66 / $1,024.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $373.72 / $513.44