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Missouri rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.80 / $334.00 / $344.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.46 / $258.73 / $470.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.23 / $518.94 / $2,281.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.62 / $224.02 / $399.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $246.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.66 / $397.44 / $1,982.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.38 / $246.56 / $369.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.38 / $246.56 / $330.23