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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
$630.96 / $630.96 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $4,265.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $724.44 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $977.24 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $954.99 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $912.01