go back

Kansas 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
$213.97 / $213.97 / $213.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.38 / $140.19 / $213.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.78 / $217.97 / $231.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.35 / $216.35 / $216.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $185.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $185.61 / $415.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.38 / $208.25 / $1,347.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $128.91 / $330.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.32 / $128.91 / $172.65