go back

Arizona rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.43 / $1,130.26 / $1,647.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.75 / $2,379.73 / $4,302.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.88 / $2,195.84 / $2,991.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,277.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $932.55 / $2,407.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.11 / $1,676.57 / $10,083.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.70 / $938.86 / $1,414.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.55 / $938.86 / $1,346.91