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Missouri rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.10 / $42.59 / $59.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.10 / $42.59 / $65.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.50 / $82.43 / $362.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $40.28 / $63.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $39.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $63.27 / $353.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $39.15 / $95.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $38.81 / $56.76