go back

Arizona rates for HCPCS L1260

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

Facilitymedian $83 · 10th–90th $28–$2190%10%10th90th$83Professionalmedian $52 · 10th–90th $40–$1170%20%10th90th$52$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $53.70 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $109.65 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $100.00 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $70.79 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $42.66 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $42.66 / $64.57