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Missouri rates for HCPCS L2620

Addition To Lower Extremity Pelvic Control Hip Joint Heavy Duty Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.10 / $199.10 / $265.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.82 / $206.34 / $314.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.32 / $399.34 / $1,755.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.40 / $183.18 / $307.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.22 / $188.22 / $188.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.40 / $137.40 / $193.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.94 / $301.22 / $1,633.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.50 / $189.74 / $462.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.62 / $204.62 / $204.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $180.26 / $281.27