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Missouri rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Facilitymedian $661 · 10th–90th $372–$1,5490%20%10th90th$661Professionalmedian $372 · 10th–90th $275–$7760%20%10th90th$372$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $371.54 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $2,884.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $389.05 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $630.96 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $407.38 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $575.44