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Missouri rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.88 / $64.88 / $86.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.89 / $67.23 / $102.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.93 / $130.13 / $572.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.47 / $68.81 / $100.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $78.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.88 / $100.32 / $621.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.57 / $61.82 / $150.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $61.82 / $113.29