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Missouri rates for HCPCS K0672

Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $58.88 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $51.29 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $91.20 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $51.29 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $81.28 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $50.12 / $75.86