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Colorado rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $295.12 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $154.88 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $134.90 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $186.21