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Missouri rates for HCPCS L1730

Legg Perthes orthosis, (Scottish Rite type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.65 / $733.65 / $977.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.65 / $760.32 / $1,160.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.43 / $1,471.50 / $6,469.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.14 / $775.39 / $1,133.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.34 / $1,057.34 / $1,057.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $771.87 / $1,089.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.88 / $1,129.45 / $6,718.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.02 / $699.16 / $1,703.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.07 / $699.16 / $1,096.65