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Missouri rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.49 / $112.49 / $149.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.22 / $116.58 / $177.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.89 / $225.63 / $991.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $122.85 / $173.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $136.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $99.43 / $145.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.46 / $173.93 / $1,062.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.37 / $107.20 / $261.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $107.20 / $170.16