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Missouri rates for HCPCS L2640

Addition To Lower Extremity Pelvic Control Band And Belt Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.19 / $198.19 / $264.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.59 / $205.40 / $313.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.59 / $397.52 / $1,747.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.44 / $221.70 / $306.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $172.70 / $243.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.19 / $306.44 / $2,077.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.49 / $188.88 / $460.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.53 / $188.88 / $389.05