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Missouri rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.74 / $1,209.57 / $1,248.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.74 / $936.99 / $1,703.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.86 / $1,879.35 / $8,261.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.26 / $871.01 / $1,448.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $653.35 / $921.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.12 / $1,432.32 / $7,595.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.48 / $944.26 / $1,527.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.48 / $892.94 / $1,190.58