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Arizona 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
$49.15 / $51.84 / $86.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.02 / $122.91 / $222.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.06 / $113.41 / $154.52
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 / $53.49 / $121.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $86.58 / $510.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.78 / $48.49 / $73.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.78 / $48.49 / $73.03