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Missouri rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,676.56 / $3,959.07 / $4,085.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,676.56 / $3,066.89 / $5,576.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,858.45 / $6,151.37 / $27,042.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.53 / $3,569.66 / $4,814.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $2,721.75 / $3,840.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,290.82 / $5,272.61 / $26,807.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,230.46 / $3,166.27 / $5,478.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,135.42 / $2,922.71 / $4,296.37