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Colorado rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.58 / $45.58 / $45.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $45.58 / $69.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.39 / $91.45 / $166.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.30 / $49.30 / $53.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $44.98 / $87.09
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.21 / $45.58 / $102.39
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.21 / $26.21 / $26.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $101.74 / $161.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $40.61 / $64.40