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Missouri rates for HCPCS 29515

Application Short Leg Splint Calf Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.64 / $211.58 / $1,194.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.76 / $72.06 / $259.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $71.91 / $105.98
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.96 / $91.96 / $91.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $61.67 / $93.71
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.50 / $93.60 / $140.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $82.72 / $145.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.64 / $83.66 / $245.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.66 / $104.83 / $544.96
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.81 / $120.81 / $120.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.20 / $88.25 / $148.69