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Missouri rates for HCPCS L2820

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.22 / $51.22 / $68.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.28 / $53.08 / $81.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.55 / $73.37 / $73.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.83 / $102.72 / $451.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $58.96 / $79.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $72.18 / $72.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.69 / $52.69 / $76.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.42 / $78.84 / $556.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.44 / $48.81 / $118.91
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $48.81 / $75.20