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Missouri rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,349.60 / $4,954.60 / $5,113.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,349.60 / $3,838.08 / $6,978.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,331.60 / $7,698.18 / $33,842.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,707.50 / $3,772.23 / $5,931.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $3,551.46 / $5,010.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,349.60 / $5,908.69 / $33,007.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,566.35 / $3,919.02 / $6,584.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.44 / $3,657.66 / $4,898.78