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Arizona rates for HCPCS L1280

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

Facilitymedian $105 · 10th–90th $34–$2750%10%10th90th$105Professionalmedian $56 · 10th–90th $43–$1070%20%40%10th90th$56$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $56.23 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $141.25 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $72.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $87.10 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $48.98 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $64.57 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $48.98 / $72.44