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Missouri rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.92 / $60.53 / $62.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.92 / $49.05 / $85.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.58 / $94.06 / $413.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.01 / $50.99 / $72.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $59.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $43.71 / $63.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.92 / $72.19 / $445.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.93 / $48.41 / $89.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $44.69 / $64.59