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Missouri rates for HCPCS L1010

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $46.77 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $45.71 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $67.61 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $41.69 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $67.61 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $40.74 / $60.26