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Missouri rates for HCPCS L5530

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.76 / $1,492.13 / $1,539.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.76 / $1,239.85 / $2,101.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.35 / $1,479.35 / $1,479.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.98 / $2,318.38 / $10,192.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.94 / $1,282.47 / $1,786.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $1,295.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $945.63 / $1,380.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.76 / $1,779.46 / $10,873.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.88 / $1,193.33 / $2,211.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.88 / $1,109.91 / $1,593.75