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Missouri rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.44 / $54.44 / $72.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $56.42 / $86.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.99 / $109.19 / $480.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.96 / $59.92 / $84.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $61.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $63.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.44 / $84.17 / $503.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.67 / $51.88 / $126.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.59 / $51.88 / $76.43