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Kansas rates for HCPCS L1200

Thoracic-Lumbar-Sacral-Orthosis (Tlso) Inclusive Of Furnishing Initial Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.92 / $1,692.92 / $1,692.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.52 / $1,109.16 / $1,692.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.59 / $1,643.78 / $1,748.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.97 / $1,725.97 / $1,725.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.20 / $1,184.20 / $1,184.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.47 / $1,184.20 / $3,124.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.52 / $1,647.63 / $9,758.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.08 / $1,019.93 / $2,105.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.08 / $977.66 / $1,366.02