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Missouri rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.79 / $2,054.26 / $2,120.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.79 / $1,591.33 / $2,893.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,039.80 / $3,191.79 / $14,031.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.38 / $1,715.30 / $2,459.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,496.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.79 / $2,449.82 / $15,093.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.34 / $1,642.89 / $3,034.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.34 / $1,528.04 / $2,195.59