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Kansas 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
$300.19 / $300.19 / $300.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.67 / $196.68 / $300.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.47 / $327.83 / $347.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.39 / $325.39 / $325.39
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 / $225.30 / $555.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $292.14 / $1,533.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.70 / $180.86 / $463.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.08 / $326.08 / $383.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.20 / $170.75 / $239.24