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Missouri rates for HCPCS L2415

Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $117.49 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $117.49 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $104.71