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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
$1,213.69 / $1,213.69 / $1,616.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.53 / $1,257.82 / $1,919.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.42 / $2,434.34 / $10,701.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.34 / $1,250.07 / $1,875.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $949.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.41 / $1,876.54 / $10,889.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.28 / $1,156.63 / $2,818.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.03 / $1,146.32 / $1,676.14