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Missouri rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.59 / $1,876.47 / $1,936.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.59 / $1,637.19 / $2,642.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.72 / $2,915.56 / $12,817.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.24 / $1,722.19 / $2,247.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $1,521.41 / $2,221.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.24 / $2,237.80 / $14,469.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.16 / $1,541.76 / $2,922.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.91 / $2,070.03 / $2,221.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.98 / $1,395.80 / $2,117.59