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Missouri rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.39 / $443.39 / $590.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.39 / $459.52 / $701.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.98 / $889.33 / $3,909.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.76 / $460.49 / $685.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $456.99 / $644.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.30 / $685.56 / $4,031.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.51 / $422.55 / $1,029.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.51 / $422.55 / $612.35