go back

Missouri rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $91.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $93.33 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $57.54 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $91.20 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $57.54 / $87.10