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Kansas rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.67 / $77.67 / $77.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $50.89 / $77.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.69 / $93.50 / $99.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.80 / $92.80 / $92.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $175.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.21 / $75.59 / $496.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $46.79 / $119.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $106.31 / $125.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $46.79 / $68.50