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Missouri rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $660.69 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $3,467.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $537.03 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $794.33 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $794.33 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $691.83