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Missouri rates for HCPCS L2000

Knee Ankle Foot Orthosis Single Upright Free Knee Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.20 / $598.20 / $796.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.20 / $619.95 / $946.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.69 / $1,199.82 / $5,274.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.49 / $694.89 / $924.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $714.02 / $714.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.23 / $521.23 / $735.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.20 / $924.90 / $6,061.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.31 / $570.07 / $1,388.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.36 / $570.07 / $864.94