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Missouri rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.04 / $523.69 / $540.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.87 / $405.67 / $737.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.93 / $813.68 / $3,577.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.15 / $433.10 / $626.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $334.77 / $472.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.04 / $624.52 / $3,692.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.73 / $415.38 / $741.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.73 / $386.60 / $560.24