go back

Missouri rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.09 / $1,238.20 / $1,277.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.91 / $959.17 / $1,743.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.22 / $1,923.83 / $8,457.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.33 / $839.51 / $1,482.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,036.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $756.53 / $1,067.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.13 / $1,430.99 / $7,109.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $914.08 / $1,415.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $914.08 / $1,297.49