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Missouri rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.49 / $186.49 / $248.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.49 / $193.28 / $295.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.25 / $374.06 / $1,644.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.48 / $216.46 / $288.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $243.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $178.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.49 / $288.35 / $1,827.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.90 / $177.73 / $433.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.62 / $177.73 / $311.45