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Missouri rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.18 / $206.18 / $274.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.18 / $213.68 / $326.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.85 / $413.54 / $1,818.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.03 / $239.88 / $318.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $262.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.18 / $318.79 / $2,095.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.79 / $196.49 / $478.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.38 / $196.49 / $420.11