go back

Missouri rates for HCPCS L1945

Ankle Foot Orthosis Plastic Rigid Anterior Tibial Section (Floor Reaction) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.94 / $545.94 / $727.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.94 / $565.79 / $863.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.86 / $1,095.01 / $4,813.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.98 / $643.32 / $844.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.23 / $769.23 / $769.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.54 / $561.54 / $820.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.94 / $848.69 / $5,627.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.05 / $520.28 / $1,267.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.87 / $520.28 / $801.73