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Missouri 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
$1,589.78 / $1,589.78 / $2,117.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.83 / $1,647.59 / $2,514.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.84 / $3,188.68 / $14,018.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.75 / $1,387.19 / $2,456.92
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 / $1,243.91 / $1,755.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.82 / $2,306.63 / $11,712.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.03 / $1,515.05 / $3,691.26
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
$946.91 / $1,439.30 / $2,195.52