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Missouri rates for HCPCS L5580

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.75 / $2,114.83 / $2,182.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.75 / $1,680.24 / $2,978.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,129.43 / $3,285.90 / $14,445.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.50 / $1,806.78 / $2,531.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.18 / $1,769.18 / $1,769.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.50 / $1,291.50 / $1,886.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.75 / $2,522.07 / $14,790.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.09 / $1,691.35 / $2,998.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.09 / $1,561.24 / $2,176.64