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Missouri rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.86 / $2,008.86 / $2,676.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,982.08 / $2,081.91 / $3,177.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,837.37 / $4,029.24 / $17,713.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.32 / $2,048.37 / $3,156.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,326.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $1,698.53 / $2,480.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,920.65 / $3,106.00 / $17,957.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.90 / $1,914.43 / $4,664.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.70 / $1,914.43 / $2,913.48