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Missouri rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $309.03 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $309.03 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $416.87 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $416.87 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $389.05