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Missouri rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.43 / $2,729.70 / $2,817.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.43 / $2,114.56 / $3,844.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,039.28 / $4,241.24 / $18,645.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.72 / $2,207.84 / $3,269.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $1,666.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.43 / $3,255.35 / $19,065.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.78 / $2,159.16 / $3,589.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.78 / $2,015.15 / $2,860.42