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Missouri rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.04 / $28.04 / $37.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $30.08 / $44.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.89 / $35.89 / $40.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.56 / $56.24 / $247.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $32.25 / $43.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $28.59 / $41.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.04 / $43.35 / $295.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $26.72 / $65.11
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.70 / $65.70 / $65.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $26.72 / $53.67