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Colorado rates for HCPCS L1110

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.13 / $161.13 / $161.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.21 / $161.13 / $218.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.73 / $323.29 / $586.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.24 / $175.24 / $189.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $225.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $164.47 / $387.91
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $161.13 / $361.98
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.67 / $92.67 / $92.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.04 / $359.66 / $575.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.34 / $143.54 / $216.23