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Missouri rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.37 / $238.74 / $770.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.37 / $238.74 / $364.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.05 / $462.05 / $2,031.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.46 / $222.79 / $356.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $310.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.99 / $356.18 / $2,011.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $219.54 / $534.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.40 / $186.11 / $352.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.36 / $218.59 / $359.69