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Kansas rates for HCPCS L1250

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.40 / $67.40 / $67.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.21 / $44.16 / $67.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $77.83 / $82.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.26 / $77.26 / $77.26
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 / $61.62 / $138.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.21 / $65.59 / $434.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $40.61 / $103.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $40.61 / $54.38