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Missouri rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.43 / $546.45 / $563.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.43 / $423.31 / $769.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.61 / $849.04 / $3,732.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.71 / $424.79 / $654.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $405.70 / $592.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.43 / $651.66 / $3,703.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.41 / $432.23 / $721.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.41 / $403.41 / $540.29