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Missouri rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.71 / $1,684.35 / $1,738.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.71 / $1,304.78 / $2,372.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,492.42 / $2,617.04 / $11,505.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.29 / $1,376.42 / $2,016.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,763.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.71 / $2,008.71 / $12,123.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.85 / $1,334.47 / $2,419.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.85 / $1,256.21 / $2,118.90