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Missouri rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.63 / $176.63 / $235.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.42 / $183.05 / $279.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.40 / $354.27 / $1,557.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.60 / $205.57 / $272.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $224.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.63 / $273.08 / $1,743.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.46 / $168.32 / $410.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.69 / $168.32 / $296.58