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Kansas rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,514.73 / $2,514.73 / $2,514.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.56 / $1,647.59 / $2,514.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.64 / $1,555.41 / $1,654.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,664.29 / $1,664.29 / $1,664.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $1,703.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,703.99 / $3,475.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.56 / $2,447.44 / $11,712.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.52 / $1,447.50 / $3,879.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.47 / $1,351.61 / $1,939.87