go back

Missouri rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $218.78 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $323.59 / $891.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $199.53 / $281.84