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Kentucky 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
$104.59 / $158.69 / $164.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.34 / $164.57 / $206.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.20 / $308.76 / $324.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.41 / $168.49 / $187.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.57 / $417.21 / $586.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.76 / $416.83 / $537.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $376.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $1,578.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.96 / $180.07 / $220.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.69 / $154.04 / $239.24