go back

Michigan rates for HCPCS L1270

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.03 / $57.03 / $57.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $57.03 / $57.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.13 / $301.14 / $548.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.87 / $99.86 / $134.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.91 / $65.79 / $72.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.89 / $79.89 / $79.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $115.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.03 / $72.17 / $72.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.84 / $72.17 / $104.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $73.90 / $84.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $46.90 / $70.84