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Kansas rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.30 / $530.30 / $530.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.26 / $347.44 / $530.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.17 / $530.44 / $562.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.50 / $526.50 / $526.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $1,164.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.26 / $516.12 / $3,392.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $319.49 / $818.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $725.80 / $853.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $319.49 / $427.91