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Missouri rates for HCPCS L2128

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.30 / $1,011.30 / $1,347.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.91 / $1,048.07 / $1,599.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.80 / $2,028.39 / $8,917.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.32 / $1,148.64 / $1,563.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $1,243.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.30 / $1,563.62 / $9,986.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.47 / $963.76 / $2,348.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.56 / $963.76 / $1,462.25