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Missouri rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.45 / $444.41 / $458.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.45 / $373.75 / $625.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.62 / $690.50 / $3,035.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.73 / $401.80 / $532.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $438.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.45 / $529.99 / $3,432.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.39 / $365.15 / $698.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.78 / $330.57 / $505.56