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Missouri rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.11 / $467.58 / $482.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.11 / $362.21 / $658.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.90 / $726.50 / $3,193.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.52 / $323.52 / $559.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $393.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $287.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.31 / $557.63 / $2,807.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.12 / $355.11 / $574.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.12 / $345.18 / $489.97