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Missouri rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.05 / $163.30 / $219.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.33 / $171.46 / $310.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.00 / $233.96 / $311.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.94 / $327.54 / $1,439.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.43 / $216.09 / $267.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $291.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $156.34 / $259.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.30 / $265.14 / $1,620.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.69 / $155.62 / $379.16
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.98 / $286.98 / $286.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.08 / $155.62 / $249.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.08 / $155.62 / $264.17