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Missouri rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.35 / $386.57 / $398.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.45 / $299.45 / $544.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.04 / $600.64 / $2,640.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.83 / $306.70 / $462.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $350.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.35 / $461.01 / $2,588.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.71 / $305.77 / $466.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.71 / $285.38 / $405.09