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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
$549.54 / $549.54 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $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
$549.54 / $630.96 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $741.31
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 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $831.76 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $524.81 / $794.33