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Arizona rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.46 / $49.25 / $97.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.56 / $95.95 / $173.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.40 / $88.53 / $116.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $131.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.45 / $70.51 / $457.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.39 / $42.52 / $67.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $42.52 / $64.05