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Kentucky 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
$232.79 / $329.16 / $341.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.77 / $347.63 / $431.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.66 / $640.41 / $673.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.70 / $375.02 / $392.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.31 / $902.98 / $1,216.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.41 / $864.55 / $1,125.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $833.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $3,493.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.68 / $408.15 / $510.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $319.49 / $512.33