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Missouri rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.34 / $111.34 / $148.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.34 / $115.39 / $176.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.68 / $223.31 / $981.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.28 / $127.73 / $172.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $109.58 / $160.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.34 / $172.15 / $1,107.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.91 / $106.10 / $258.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $106.10 / $162.38