go back

Missouri rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.59 / $54.59 / $72.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.59 / $56.58 / $86.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.28 / $109.49 / $481.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $62.90 / $84.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $75.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $55.09 / $80.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.59 / $84.41 / $539.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.68 / $52.03 / $126.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $52.03 / $79.39