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Missouri rates for HCPCS L2840

Addition to lower extremity orthosis, tibial length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.65 / $26.65 / $35.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.65 / $27.62 / $42.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.91 / $53.46 / $235.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $29.46 / $41.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $31.92 / $31.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $23.30 / $34.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.65 / $41.04 / $258.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $25.40 / $61.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $25.40 / $49.32