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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
$37.52 / $37.52 / $49.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $38.88 / $59.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $75.25 / $330.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.77 / $43.10 / $58.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $56.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.52 / $58.01 / $377.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.62 / $35.75 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $35.75 / $73.64