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Alaska rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.22 / $131.22 / $131.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $75.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $31.30 / $31.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.05 / $145.53 / $229.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $31.30 / $73.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $74.98 / $118.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.04 / $146.49 / $191.07