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Kansas 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
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $51.29 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $77.62 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $64.57 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $44.67 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $67.61 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $42.66 / $58.88