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Missouri rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.03 / $94.03 / $125.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.72 / $97.45 / $148.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.35 / $120.35 / $134.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.63 / $188.61 / $829.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.74 / $85.06 / $145.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $102.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $74.90 / $120.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.78 / $144.78 / $744.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $89.62 / $218.34
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.41 / $135.41 / $135.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $89.62 / $157.05