go back

Missouri rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $2,089.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $478.63 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $467.74 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $416.87