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Missouri rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.79 / $81.79 / $108.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.68 / $84.76 / $129.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.68 / $104.68 / $104.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.24 / $164.05 / $721.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.63 / $84.59 / $128.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $105.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.19 / $126.45 / $730.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $77.95 / $189.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $77.95 / $118.60