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Missouri rates for HCPCS L5816

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.35 / $689.81 / $711.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.35 / $534.36 / $971.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.74 / $1,071.78 / $4,711.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.48 / $623.60 / $825.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.31 / $660.31 / $660.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $482.03 / $703.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.35 / $822.63 / $5,316.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.37 / $551.66 / $930.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.73 / $509.24 / $784.72