go back

Missouri rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.65 / $492.04 / $507.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.65 / $381.16 / $693.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.08 / $546.08 / $546.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.10 / $764.51 / $3,360.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.18 / $411.21 / $589.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $503.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.65 / $586.79 / $3,612.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.08 / $393.51 / $703.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.08 / $366.00 / $521.61