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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
$186.21 / $186.21 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $218.78 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $288.40 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $269.15