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Missouri rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $10.38 / $13.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.76 / $16.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $20.81 / $91.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $11.78 / $16.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $15.98 / $96.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $9.89 / $24.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $9.78 / $15.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $9.89 / $15.65