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Missouri rates for HCPCS L5722

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.80 / $875.38 / $903.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.80 / $678.11 / $1,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.34 / $1,360.12 / $5,979.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.86 / $659.00 / $1,047.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $901.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.80 / $1,043.95 / $5,634.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.53 / $692.41 / $1,155.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.53 / $646.24 / $861.65