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Kentucky rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.48 / $123.45 / $128.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.73 / $96.76 / $128.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.52 / $240.19 / $252.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.88 / $105.49 / $112.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.14 / $261.20 / $348.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.16 / $288.23 / $396.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $281.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $116.53 / $975.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.51 / $153.07 / $191.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.25 / $108.19 / $190.04