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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
$354.81 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $2,754.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $602.56 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $616.60 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $549.54