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Missouri rates for HCPCS L2320

Addition to lower extremity, nonmolded lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.72 / $129.72 / $172.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.46 / $134.44 / $205.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.82 / $260.20 / $1,143.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.94 / $139.22 / $200.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.84 / $144.84 / $144.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $105.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.84 / $200.59 / $1,226.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $123.64 / $301.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.35 / $123.64 / $190.04