go back

Missouri rates for HCPCS L5570

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.12 / $1,948.25 / $2,010.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.12 / $1,509.21 / $2,744.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.92 / $3,027.07 / $13,307.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.84 / $1,481.65 / $2,332.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.38 / $1,769.38 / $1,769.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.65 / $1,291.65 / $1,822.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.12 / $2,323.40 / $12,904.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.28 / $1,541.03 / $2,427.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.28 / $1,438.26 / $2,041.54