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Missouri 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
$46.51 / $46.51 / $61.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.51 / $49.90 / $69.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $93.29 / $410.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $52.58 / $71.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $48.75 / $71.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.51 / $71.91 / $471.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.33 / $44.32 / $107.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.18 / $117.18 / $140.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $44.32 / $75.09