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Missouri rates for HCPCS L1910

Ankle-foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.72 / $157.72 / $210.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.72 / $163.44 / $249.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.27 / $316.33 / $1,390.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.87 / $183.50 / $243.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.57 / $218.57 / $218.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.56 / $159.56 / $225.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.72 / $243.85 / $1,607.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.53 / $150.31 / $366.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.81 / $150.31 / $255.08