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Missouri rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.09 / $97.09 / $129.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.60 / $100.62 / $153.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.46 / $194.73 / $856.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $107.19 / $150.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $110.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $80.41 / $117.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.68 / $150.11 / $923.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.84 / $92.52 / $225.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $92.52 / $176.62