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Missouri rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.75 / $1,060.75 / $1,413.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.75 / $1,099.32 / $1,677.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.26 / $2,127.57 / $9,353.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.04 / $1,136.98 / $1,639.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,277.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $932.55 / $1,498.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.20 / $1,640.08 / $10,083.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.84 / $1,010.88 / $2,462.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.11 / $1,010.88 / $1,630.17