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Missouri rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.45 / $79.45 / $105.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.58 / $82.35 / $118.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.85 / $113.85 / $113.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.80 / $159.38 / $700.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.15 / $76.87 / $122.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $92.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $67.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.59 / $122.34 / $659.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $75.73 / $184.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $73.69 / $109.74