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Missouri rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.60 / $3,533.14 / $3,646.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.60 / $2,808.20 / $4,976.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,228.18 / $5,489.59 / $24,133.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.44 / $2,800.76 / $4,229.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $3,780.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.60 / $4,213.50 / $24,492.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.94 / $2,825.64 / $4,890.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.94 / $2,608.28 / $3,866.55