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Missouri rates for HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.86 / $71.86 / $95.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.86 / $74.47 / $113.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.27 / $144.13 / $633.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.28 / $76.45 / $111.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.21 / $104.21 / $104.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $76.06 / $76.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.97 / $111.10 / $670.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.61 / $68.48 / $166.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.26 / $68.48 / $101.52