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Colorado rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.43 / $54.43 / $54.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.25 / $54.43 / $73.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.19 / $109.20 / $198.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $58.90 / $60.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $104.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $54.43 / $122.26
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $31.30 / $31.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.95 / $121.49 / $192.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.02 / $48.49 / $73.03