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Missouri rates for HCPCS L2192

Addition To Lower Extremity Fracture Orthosis Hip Joint Pelvic Band Thigh Flange And Pelvic Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.39 / $266.39 / $354.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.46 / $276.08 / $421.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.88 / $534.32 / $2,348.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.22 / $235.22 / $411.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $251.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.23 / $183.23 / $258.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.95 / $401.69 / $2,126.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.25 / $253.87 / $618.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.25 / $253.87 / $360.36