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Ohio 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
$56.55 / $56.55 / $185.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $56.55 / $65.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.86 / $115.81 / $300.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.73 / $58.31 / $136.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.95 / $105.28 / $145.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.43 / $98.96 / $225.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $125.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $87.53
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $73.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.64 / $61.38 / $80.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.01 / $50.33 / $72.95