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Missouri 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
$154.32 / $154.32 / $205.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.51 / $159.93 / $244.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.77 / $309.52 / $1,360.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.30 / $176.99 / $238.60
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 / $203.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.90 / $237.57 / $1,539.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $147.07 / $358.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.31 / $147.07 / $226.62