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Missouri rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $3,715.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $851.14 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $524.81 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $831.76 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $524.81 / $776.25