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Missouri rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.39 / $319.39 / $425.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.57 / $331.01 / $476.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.78 / $457.59 / $457.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.12 / $640.63 / $2,816.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.74 / $350.31 / $493.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $397.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.31 / $493.83 / $3,004.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.29 / $304.39 / $741.60
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.84 / $524.84 / $524.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.63 / $304.39 / $586.74