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Missouri rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.60 / $97.60 / $130.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.60 / $101.15 / $154.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.44 / $195.76 / $860.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.17 / $111.76 / $150.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $124.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.60 / $151.72 / $992.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.06 / $93.02 / $226.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $93.02 / $149.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $93.02 / $191.59