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Missouri rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.29 / $2,467.67 / $2,546.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.74 / $1,911.58 / $3,475.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,738.66 / $2,738.66 / $2,738.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.55 / $3,834.13 / $16,855.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.85 / $1,660.84 / $2,954.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,249.23 / $1,824.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.21 / $2,851.89 / $14,301.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.48 / $1,821.72 / $2,735.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.48 / $1,821.72 / $2,439.86