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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
$1,258.93 / $1,258.93 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $2,884.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,348.96 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,949.84 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,905.46 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,737.80