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Colorado rates for HCPCS L1290

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral trochanteric pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.59 / $49.59 / $49.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.53 / $49.59 / $66.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.55 / $99.49 / $180.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $53.11 / $57.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $60.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $94.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $49.59 / $111.39
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.64 / $110.69 / $175.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $44.18 / $63.37