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Missouri 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
$335.25 / $335.25 / $446.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.25 / $347.44 / $530.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.41 / $672.43 / $2,956.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.16 / $375.02 / $518.30
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 / $292.12 / $412.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.25 / $516.12 / $3,392.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.70 / $319.49 / $778.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.88 / $853.88 / $1,024.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.17 / $319.49 / $492.33