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Missouri rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $977.24 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $5,248.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,174.90 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $977.24