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Missouri rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,963.18 / $11,778.87 / $12,461.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,963.18 / $9,124.48 / $16,589.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,429.81 / $18,301.30 / $80,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,672.80 / $5,672.80 / $14,931.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $10,106.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,854.44 / $15,528.20 / $81,836.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,635.98 / $9,420.16 / $16,750.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,528.64 / $8,695.54 / $12,980.37