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Colorado rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.73 / $47.73 / $47.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $47.73 / $69.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.23 / $95.76 / $173.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.74 / $51.74 / $55.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $91.19
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.45 / $47.73 / $107.23
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $27.45 / $27.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.22 / $106.54 / $168.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.60 / $42.52 / $64.05