go back

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
$368.85 / $545.59 / $563.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.85 / $422.64 / $768.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.33 / $847.70 / $3,726.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.97 / $456.56 / $653.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $485.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $354.47 / $517.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.85 / $650.64 / $3,853.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.06 / $436.34 / $797.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.06 / $402.77 / $577.04