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Missouri rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.35 / $2,112.76 / $2,180.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.35 / $1,724.51 / $2,975.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,126.36 / $3,282.68 / $14,431.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.69 / $1,760.19 / $2,529.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $1,819.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,328.52 / $1,940.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.35 / $2,519.59 / $15,534.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.83 / $1,689.68 / $3,077.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.29 / $1,571.56 / $2,312.13