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Missouri rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $169.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $83.18 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $114.82 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $70.79 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $112.20 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $70.79 / $104.71