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Missouri rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.60 / $293.76 / $303.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.60 / $231.70 / $413.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.25 / $291.25 / $326.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.70 / $456.44 / $2,006.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.22 / $264.67 / $351.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $281.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $205.28 / $299.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.60 / $350.33 / $2,291.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.72 / $241.36 / $463.68
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.23 / $533.23 / $533.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.80 / $218.51 / $334.19