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Kansas 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
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $47.46 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $75.33 / $82.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.03 / $78.03 / $78.03
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 / $62.81 / $158.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $70.50 / $468.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.10 / $43.64 / $107.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.10 / $43.64 / $58.45