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Missouri rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.44 / $245.44 / $326.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.37 / $254.36 / $388.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.12 / $351.63 / $351.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.84 / $492.28 / $2,164.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.60 / $262.63 / $379.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $251.87 / $367.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.91 / $379.48 / $2,336.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.84 / $233.90 / $569.87
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.34 / $431.34 / $431.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.50 / $233.90 / $352.34