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Missouri rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.53 / $647.17 / $667.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.53 / $582.08 / $822.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.63 / $641.63 / $718.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.66 / $1,005.54 / $4,420.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.59 / $582.85 / $775.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $813.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.53 / $771.80 / $4,987.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.14 / $531.74 / $1,036.98
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.84 / $882.84 / $882.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.14 / $546.91 / $863.56