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Kansas rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.20 / $166.20 / $166.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.02 / $108.89 / $166.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.64 / $328.97 / $349.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.52 / $312.52 / $312.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $116.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $85.07 / $261.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.02 / $161.75 / $947.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $100.13 / $256.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $97.01 / $134.10