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Missouri rates for HCPCS L5636

Addition To Lower Extremity Symes Type Medial Opening Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.44 / $209.21 / $215.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.44 / $162.06 / $294.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.58 / $325.06 / $1,429.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.82 / $186.03 / $250.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $202.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.44 / $249.51 / $1,592.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $167.32 / $324.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $155.62 / $235.11