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Missouri rates for HCPCS L5960

Addition Endoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.17 / $867.06 / $894.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.17 / $691.07 / $1,221.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.03 / $1,347.18 / $5,922.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.94 / $699.29 / $1,038.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $930.44 / $930.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $679.22 / $991.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.17 / $1,034.02 / $6,077.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.05 / $693.43 / $1,234.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.05 / $644.95 / $913.99