go back

Missouri 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
$48.98 / $48.98 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $56.23 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $72.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $75.86 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $46.77 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $46.77 / $70.79