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Missouri rates for HCPCS L2010

Knee-ankle-foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.25 / $548.25 / $730.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.35 / $568.17 / $867.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.28 / $1,099.64 / $4,834.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.32 / $628.75 / $847.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $740.83 / $740.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $540.80 / $763.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.25 / $847.67 / $5,601.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.55 / $522.47 / $1,272.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.40 / $522.47 / $838.58