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Missouri rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.59 / $1,644.25 / $1,696.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.59 / $1,273.71 / $2,315.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.08 / $2,554.73 / $11,231.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.00 / $1,275.56 / $1,968.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,172.52 / $1,654.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.59 / $1,960.87 / $11,048.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.03 / $1,300.58 / $2,227.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.03 / $1,223.06 / $1,722.98