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Missouri rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.72 / $184.72 / $246.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.26 / $191.44 / $292.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.86 / $370.50 / $1,628.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $198.35 / $285.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $197.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $144.50 / $211.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.62 / $285.61 / $1,651.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.94 / $176.04 / $428.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.94 / $176.04 / $305.42