go back

Missouri rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.83 / $360.67 / $372.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.61 / $279.39 / $507.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.58 / $400.28 / $400.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.70 / $560.39 / $2,463.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.22 / $321.33 / $431.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $260.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $190.44 / $278.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.84 / $430.09 / $2,277.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.50 / $266.25 / $430.18
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.71 / $494.71 / $494.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.50 / $266.25 / $356.58