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Missouri rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.71 / $1,607.42 / $1,658.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.71 / $1,499.00 / $2,263.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,378.58 / $2,497.51 / $10,979.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.82 / $1,556.88 / $1,956.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $1,486.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $1,584.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.93 / $1,939.10 / $12,494.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.88 / $1,305.28 / $2,537.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.88 / $1,195.66 / $2,072.73