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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
$48.98 / $48.98 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $45.71 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $97.72 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $45.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $128.82 / $165.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $79.43 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $38.90 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $42.66 / $60.26