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Alabama rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $51.29 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $45.71 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $42.66 / $64.57