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Alaska rates for HCPCS L1270

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $69.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $89.13 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $147.91 / $269.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $147.91 / $154.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $151.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $117.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $64.57 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $114.82 / $380.19