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Missouri rates for HCPCS L2540

Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.34 / $249.34 / $332.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.34 / $258.41 / $394.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.30 / $500.12 / $2,198.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.89 / $289.64 / $385.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $297.62 / $297.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.26 / $217.26 / $317.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.34 / $385.52 / $2,544.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.87 / $237.62 / $578.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.09 / $237.62 / $380.74