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Missouri rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.54 / $1,243.42 / $1,243.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.68 / $1,159.41 / $1,243.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.45 / $1,284.27 / $1,645.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $84.85 / $106.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $483.26 / $1,623.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $94.76 / $949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $95.41 / $890.47