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Missouri rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.70 / $985.70 / $1,313.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.48 / $1,021.55 / $1,559.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.92 / $1,977.07 / $8,691.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.14 / $1,047.83 / $1,524.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $885.22 / $1,249.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.18 / $1,517.47 / $9,141.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.10 / $939.37 / $2,288.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.04 / $939.37 / $1,658.76