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Missouri rates for HCPCS L5535

Preparatory, below knee (BK) PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.44 / $1,651.40 / $1,704.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.44 / $1,279.25 / $2,325.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,443.65 / $2,565.83 / $11,279.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.10 / $1,243.47 / $1,977.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.83 / $1,271.83 / $1,271.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.44 / $928.44 / $1,309.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.44 / $1,969.41 / $11,043.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.19 / $1,306.24 / $2,076.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.19 / $1,219.11 / $1,766.69