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Missouri rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.76 / $635.67 / $656.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.18 / $492.43 / $895.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.65 / $987.68 / $4,342.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.72 / $455.05 / $761.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $448.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $478.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.33 / $756.42 / $3,726.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.86 / $469.28 / $703.33
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.52 / $700.52 / $700.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.86 / $469.28 / $628.52