go back

Missouri rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $36.25 / $37.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $28.08 / $51.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.65 / $56.33 / $247.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $28.86 / $43.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $21.74 / $31.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $43.22 / $253.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $28.66 / $50.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $26.86 / $39.40