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Missouri rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.57 / $1,401.61 / $1,446.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.57 / $1,085.76 / $1,974.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,074.04 / $2,177.73 / $9,573.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.50 / $1,062.60 / $1,677.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,003.93 / $1,416.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.57 / $1,671.50 / $9,328.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.47 / $1,108.64 / $1,863.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.47 / $1,034.71 / $1,468.73