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Kentucky 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
$51.29 / $51.29 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $57.54 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $102.33 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $134.90 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $87.10 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $52.48 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $50.12 / $77.62