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Missouri rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.14 / $190.14 / $253.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.14 / $197.06 / $300.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.20 / $381.36 / $1,676.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.63 / $210.09 / $293.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $230.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.14 / $293.98 / $1,848.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.80 / $181.20 / $441.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $181.20 / $333.10