go back

Missouri rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $26.30 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $29.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $36.31 / $239.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.39 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $35.48 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.39 / $33.88