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Missouri rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.36 / $87.36 / $116.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.69 / $90.53 / $138.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.87 / $175.21 / $770.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.17 / $82.80 / $135.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $82.02 / $115.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.38 / $134.49 / $701.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $83.25 / $202.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $83.18 / $122.40