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Missouri rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.16 / $872.97 / $900.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.16 / $676.24 / $1,229.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.84 / $968.84 / $968.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.78 / $1,356.37 / $5,962.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.39 / $779.93 / $1,062.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $724.63 / $724.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $528.98 / $772.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.16 / $1,041.06 / $6,045.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.12 / $690.50 / $1,146.78
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.65 / $1,200.65 / $1,200.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.12 / $644.45 / $914.77