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Missouri rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $44.67 / $46.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $34.61 / $62.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.11 / $69.42 / $305.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.35 / $39.13 / $53.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $47.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $53.27 / $328.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $35.72 / $61.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $33.22 / $47.19