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Missouri 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
$50.88 / $50.88 / $67.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.88 / $52.73 / $80.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.19 / $102.05 / $448.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.43 / $58.90 / $78.67
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 / $75.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.88 / $78.67 / $510.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.17 / $48.49 / $118.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.96 / $48.49 / $73.56