go back

Missouri rates for HCPCS L1812

Knee Orthosis Elastic With Joints Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.92 / $79.43 / $84.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $48.19 / $93.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.75 / $73.58 / $92.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.31 / $79.08 / $347.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.96 / $71.04 / $96.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $62.03 / $88.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.17 / $71.05 / $370.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $56.26 / $137.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.42 / $56.26 / $94.31