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Missouri rates for HCPCS L1860

Knee orthosis (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.09 / $804.09 / $1,071.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.23 / $833.33 / $1,271.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.00 / $1,612.80 / $7,090.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.91 / $736.27 / $1,242.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.39 / $755.39 / $755.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.42 / $551.42 / $778.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.98 / $1,207.72 / $6,411.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.86 / $766.30 / $1,867.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.59 / $742.39 / $1,135.97