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Missouri rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $2,818.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,288.25 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,862.09 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $1,659.59