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Kentucky 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
$32.19 / $57.86 / $60.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $50.29 / $60.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.08 / $112.58 / $118.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.67 / $51.86 / $53.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.44 / $133.63 / $163.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.85 / $135.10 / $185.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $131.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $60.55 / $484.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.82 / $71.73 / $89.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $51.05 / $71.91