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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
$263.03 / $263.03 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,819.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $239.88 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $398.11 / $2,137.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $407.38 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $363.08