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Missouri rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $361.00 / $485.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.19 / $374.13 / $571.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.59 / $724.07 / $3,183.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.82 / $392.47 / $586.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $319.38 / $450.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.13 / $586.15 / $3,239.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.38 / $344.03 / $838.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.38 / $344.03 / $583.98