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Missouri rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.30 / $3,014.98 / $3,111.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.30 / $2,335.55 / $4,246.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,461.42 / $4,684.49 / $20,593.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,277.36 / $2,693.73 / $3,609.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $2,667.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.30 / $3,595.55 / $20,912.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.11 / $2,384.79 / $3,960.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.11 / $2,236.75 / $3,387.27