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Missouri rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.50 / $132.50 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.32 / $137.31 / $209.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.99 / $232.04 / $1,020.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.96 / $197.68 / $260.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $229.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.50 / $217.46 / $1,096.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.65 / $167.69 / $408.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.65 / $167.69 / $281.80