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Missouri rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.91 / $574.91 / $765.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.96 / $595.82 / $909.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.22 / $1,153.13 / $5,069.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.78 / $604.41 / $888.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $627.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $457.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.80 / $885.07 / $5,394.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.92 / $547.89 / $1,334.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.87 / $500.81 / $878.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.92 / $547.89 / $803.88