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Colorado rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.99 / $48.99 / $48.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.42 / $48.99 / $71.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.48 / $98.29 / $178.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $52.62 / $56.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $93.60
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $48.99 / $110.05
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $28.17 / $28.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.86 / $109.35 / $173.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $43.64 / $65.73