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Missouri rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.26 / $72.26 / $96.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $74.89 / $114.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.05 / $144.94 / $637.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $69.41 / $111.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $86.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.34 / $111.25 / $593.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.10 / $68.86 / $167.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.10 / $66.70 / $99.78