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Missouri rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.90 / $246.90 / $328.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.85 / $255.87 / $390.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.62 / $495.20 / $2,177.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.15 / $242.52 / $381.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $252.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $184.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.29 / $380.10 / $2,114.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.46 / $235.29 / $573.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.86 / $233.00 / $340.97