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Missouri rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.45 / $286.45 / $381.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.45 / $296.88 / $453.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.21 / $574.57 / $2,525.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.27 / $300.87 / $442.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $387.54 / $387.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $282.89 / $399.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $442.92 / $2,619.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.18 / $272.99 / $665.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.18 / $272.99 / $395.60