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Missouri rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $51.29 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $64.57 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $93.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $70.79 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $70.79 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $56.23 / $512.86
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $60.26 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $54.95 / $87.10