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Kansas rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,905.46 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $2,818.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,737.80 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,202.26 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,905.46 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $1,659.59