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Missouri rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.56 / $64.56 / $86.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $66.91 / $102.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.32 / $129.49 / $569.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.99 / $74.53 / $99.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $79.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $58.23 / $85.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.47 / $99.39 / $647.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.97 / $61.52 / $149.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.41 / $61.52 / $118.91