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Missouri rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.89 / $421.42 / $434.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.89 / $326.45 / $593.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.60 / $654.78 / $2,878.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.61 / $446.11 / $512.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $415.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.94 / $522.32 / $3,225.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.25 / $338.65 / $662.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.59 / $311.10 / $479.40