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Missouri rates for HCPCS L2020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.64 / $688.64 / $917.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.45 / $713.69 / $1,089.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.46 / $1,381.23 / $6,072.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.34 / $792.54 / $1,064.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $830.86 / $830.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $606.53 / $885.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.64 / $1,064.75 / $7,008.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.72 / $656.27 / $1,598.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.65 / $656.27 / $1,004.27