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Kentucky 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
$30.98 / $57.33 / $59.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.39 / $57.33 / $61.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.43 / $111.54 / $117.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.91 / $49.91 / $55.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.66 / $150.58 / $181.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.87 / $139.43 / $184.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $130.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $471.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.27 / $71.06 / $88.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $50.28 / $73.53