go back

Missouri rates for HCPCS L2232

Addition to lower extremity orthosis, rocker bottom for total contact ankle-foot orthosis (AFO), for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $63.10 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $75.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $95.50 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $588.84
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $93.33 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $57.54 / $83.18