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Missouri rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.71 / $1,455.07 / $1,501.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.71 / $1,127.17 / $2,049.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.60 / $1,442.60 / $1,614.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.14 / $2,260.80 / $9,938.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.08 / $1,300.05 / $1,742.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $1,207.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $881.72 / $1,287.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.71 / $1,735.25 / $10,094.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.61 / $1,150.94 / $1,911.46
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.29 / $2,001.29 / $2,001.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.61 / $1,074.18 / $1,524.75