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Missouri 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
$1,252.33 / $1,252.33 / $1,668.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.33 / $1,297.86 / $1,980.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,392.23 / $2,511.84 / $11,042.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.40 / $1,339.39 / $1,935.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,094.98 / $1,599.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.33 / $1,936.29 / $12,090.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.38 / $1,193.45 / $2,907.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.45 / $1,193.45 / $1,758.37