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Missouri rates for HCPCS L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.83 / $35.83 / $47.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.18 / $37.14 / $56.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $71.87 / $315.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $41.54 / $55.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $42.77 / $42.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.22 / $31.22 / $45.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.83 / $55.41 / $365.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.29 / $34.15 / $83.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $34.15 / $54.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $34.15 / $66.00