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Missouri rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,287.66 / $4,863.00 / $5,018.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,287.66 / $3,767.12 / $6,849.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,196.04 / $7,555.84 / $33,216.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.43 / $3,670.43 / $5,821.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $4,870.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,287.66 / $5,799.44 / $34,402.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.69 / $3,846.56 / $6,457.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.31 / $8,148.31 / $9,777.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.69 / $3,590.02 / $4,827.31