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Missouri rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $14,125.38 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,964.78 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $75,857.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $17,378.01 / $46,773.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $10,471.29 / $107,151.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $16,982.44 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $10,471.29 / $15,135.61