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Kentucky 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
$90.72 / $128.28 / $133.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.21 / $135.62 / $154.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.37 / $249.59 / $262.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.74 / $146.16 / $150.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.19 / $351.92 / $464.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.88 / $329.96 / $411.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $331.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $185.61 / $1,387.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.42 / $159.06 / $198.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $124.52 / $166.77