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Missouri rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $13.10 / $63.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $42.09 / $102.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $84.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.86 / $71.25 / $313.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $59.85 / $79.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $67.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $74.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.61 / $64.40 / $340.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $51.22 / $124.79
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $79.93 / $79.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.03 / $51.22 / $75.77