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Missouri rates for HCPCS L2830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.41 / $55.41 / $73.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.40 / $57.42 / $87.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.91 / $70.91 / $79.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.84 / $111.13 / $488.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.89 / $64.12 / $85.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $68.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $49.98 / $72.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.45 / $85.30 / $594.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.75 / $52.80 / $128.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.12 / $141.12 / $169.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.34 / $52.80 / $80.81