go back

Missouri rates for HCPCS L2037

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.32 / $982.32 / $1,308.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.32 / $1,018.04 / $1,553.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.21 / $1,257.21 / $1,257.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,876.44 / $1,970.26 / $8,661.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.62 / $1,130.53 / $1,518.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.51 / $1,172.51 / $1,172.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.93 / $855.93 / $1,207.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.32 / $1,518.81 / $9,934.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.59 / $936.14 / $2,280.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.98 / $936.14 / $1,928.25