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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
$199.53 / $199.53 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $190.55 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $295.12 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $302.00 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $173.78 / $269.15