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Missouri rates for HCPCS L2526

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.96 / $403.96 / $538.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.61 / $418.65 / $638.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.65 / $810.23 / $3,561.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.59 / $469.98 / $625.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.17 / $499.17 / $499.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.39 / $364.39 / $514.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.96 / $624.58 / $4,299.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.95 / $384.97 / $937.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.61 / $384.97 / $593.22