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Arkansas rates for HCPCS L1280

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.02 / $54.02 / $54.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $54.02 / $54.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.90 / $111.04 / $123.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.30 / $99.30 / $116.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.42 / $116.42 / $116.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $77.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $75.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $48.05 / $64.94