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Missouri rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,165.54 / $4,682.35 / $4,832.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,865.63 / $3,627.18 / $6,594.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,928.73 / $7,275.17 / $31,983.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,132.00 / $3,171.15 / $5,605.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $2,734.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,903.87 / $5,411.39 / $27,462.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,304.44 / $3,456.67 / $5,196.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,304.44 / $3,456.67 / $4,906.58