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Missouri 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
$37.15 / $37.15 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $43.65 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $52.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $57.54 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $53.70