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Colorado rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.10 / $220.10 / $220.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $220.10 / $221.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.04 / $441.62 / $801.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.99 / $176.99 / $191.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $139.19 / $315.43
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.94 / $220.10 / $491.30
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.94 / $94.94 / $94.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.92 / $491.30 / $778.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.54 / $147.07 / $221.53