go back

Missouri rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.13 / $53.13 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $55.06 / $84.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $106.56 / $468.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.53 / $57.20 / $82.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $65.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.32 / $82.14 / $510.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $50.63 / $123.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $50.63 / $95.54