go back

Missouri rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.80 / $1,381.24 / $1,425.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.80 / $1,069.98 / $1,945.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.89 / $2,146.08 / $9,434.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.38 / $1,242.91 / $1,654.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $998.51 / $1,458.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.80 / $1,647.21 / $10,228.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.73 / $1,104.65 / $2,171.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.44 / $1,547.09 / $2,043.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.65 / $1,027.42 / $1,571.29