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Missouri rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $139.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $108.52 / $165.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.02 / $210.02 / $923.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.24 / $119.68 / $161.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $142.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $104.35 / $147.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $162.78 / $1,059.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.67 / $99.79 / $243.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.14 / $99.79 / $153.77