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Missouri rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.19 / $307.19 / $409.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.16 / $318.36 / $485.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.79 / $616.13 / $2,708.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.35 / $316.12 / $474.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $276.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.82 / $472.91 / $2,777.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.86 / $292.75 / $713.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $292.75 / $449.86