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Missouri rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

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
$338.84 / $426.58 / $1,174.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $2,884.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $457.09 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $407.38 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $407.38 / $575.44