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Missouri rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.79 / $1,498.09 / $1,546.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.12 / $1,160.49 / $2,109.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,216.80 / $2,327.64 / $10,232.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.77 / $1,168.71 / $1,793.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $1,307.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.79 / $1,786.54 / $10,120.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.96 / $1,184.96 / $2,054.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.96 / $1,105.93 / $1,486.65