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Missouri rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.03 / $67.62 / $91.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $63.32 / $93.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $147.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.76 / $118.40 / $520.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $67.73 / $91.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $94.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.03 / $91.27 / $587.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.86 / $56.26 / $137.06
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.85 / $110.85 / $110.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.93 / $56.26 / $109.57