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Missouri rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.98 / $170.07 / $175.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.98 / $131.75 / $239.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.67 / $264.25 / $1,161.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.69 / $148.22 / $203.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $184.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $134.97 / $197.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.98 / $202.83 / $1,287.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $136.02 / $258.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $126.51 / $187.40