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Missouri rates for HCPCS L2126

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.22 / $706.22 / $940.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.22 / $731.90 / $1,117.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.05 / $1,416.50 / $6,227.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.26 / $789.98 / $1,091.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $842.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $615.36 / $868.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.22 / $1,087.22 / $7,102.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.60 / $673.03 / $1,639.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.55 / $673.03 / $1,300.69