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Missouri rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.34 / $265.27 / $273.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.34 / $205.50 / $373.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.54 / $412.17 / $1,811.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.05 / $220.24 / $317.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $200.49 / $292.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.34 / $316.38 / $1,955.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.79 / $212.16 / $378.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.44 / $195.84 / $283.82