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Alabama rates for HCPCS L4000

Replace girdle for spinal orthosis (cervical-thoracic-lumbar-sacral orthosis (CTLSO) or spinal orthosis SO)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.51 / $1,325.51 / $1,325.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.46 / $1,325.51 / $1,325.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.86 / $1,093.86 / $1,093.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $1,592.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $1,845.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.75 / $716.63 / $1,079.50