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Missouri rates for HCPCS L5818

Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.48 / $919.27 / $948.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.48 / $712.11 / $1,294.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.28 / $1,428.29 / $6,279.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.74 / $704.17 / $1,100.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.21 / $812.21 / $812.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.91 / $592.91 / $836.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.48 / $1,096.28 / $6,156.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.19 / $727.12 / $1,224.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.19 / $678.63 / $963.29