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Missouri rates for HCPCS L2020

Knee-ankle-foot orthosis (KAFO), 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
$691.83 / $691.83 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $4,677.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $794.33 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $1,000.00