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Missouri rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,114.07 / $4,606.22 / $4,753.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,114.07 / $3,568.20 / $6,487.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,816.07 / $7,156.87 / $31,462.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,326.19 / $3,688.79 / $5,514.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $3,790.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $2,766.97 / $3,904.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,114.07 / $5,493.22 / $32,412.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,521.88 / $3,643.46 / $5,931.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,521.88 / $3,400.46 / $4,826.80