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Missouri rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.25 / $14.25 / $18.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.76 / $22.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.21 / $28.57 / $125.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $15.39 / $22.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $16.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.10 / $21.93 / $131.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $13.57 / $33.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $13.57 / $20.12