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Missouri rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $446.68 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $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
$407.38 / $645.65 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $575.44