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Missouri 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
$45.79 / $45.79 / $61.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $47.46 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.48 / $91.85 / $403.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $52.62 / $70.77
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 / $66.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.79 / $70.81 / $468.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $43.64 / $106.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $43.64 / $70.98