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Missouri rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $21.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $55.80 / $55.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.89 / $117.89 / $117.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $23.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $77.04