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Kentucky rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.95 / $59.11 / $61.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $57.38 / $61.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.59 / $115.02 / $120.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.47 / $51.47 / $53.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.27 / $149.55 / $170.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.05 / $138.02 / $189.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $134.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $485.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.11 / $73.31 / $91.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.33 / $51.81 / $73.47