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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
Facility
Modifier
Low / Median / High Price
$97.88 / $97.88 / $97.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.33 / $97.88 / $97.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.40 / $64.40 / $64.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $95.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $61.62 / $83.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $47.13 / $67.68