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Missouri rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.19 / $3,176.06 / $3,277.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.19 / $2,522.19 / $4,473.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,148.86 / $3,148.86 / $3,148.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.79 / $4,934.78 / $21,694.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.85 / $3,043.56 / $3,846.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $2,191.15 / $3,199.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,657.16 / $4,076.73 / $21,089.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.33 / $2,542.29 / $4,222.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.92 / $2,344.67 / $3,396.52