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Missouri rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.82 / $143.82 / $191.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $149.05 / $227.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.73 / $288.47 / $1,268.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.87 / $157.80 / $222.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $190.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $139.27 / $203.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.82 / $222.37 / $1,353.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.81 / $137.06 / $333.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $137.06 / $206.60