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Kentucky rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.05 / $49.11 / $50.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.51 / $49.11 / $50.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.48 / $95.55 / $100.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.97 / $41.97 / $46.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $114.67 / $150.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.99 / $117.93 / $157.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $111.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $388.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.93 / $60.90 / $76.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $44.40 / $75.59