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Missouri rates for HCPCS L2108

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.14 / $630.14 / $839.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.14 / $653.04 / $996.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.71 / $1,263.90 / $5,556.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.43 / $722.95 / $974.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $752.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $549.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.14 / $974.29 / $6,344.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.53 / $600.52 / $1,463.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.69 / $600.52 / $984.26