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Missouri rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.42 / $621.87 / $641.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.42 / $481.73 / $875.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.22 / $966.23 / $4,247.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.29 / $532.32 / $744.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $447.45 / $653.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.42 / $741.62 / $4,719.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.92 / $497.35 / $929.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.08 / $662.59 / $920.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.35 / $462.58 / $672.95