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Missouri rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.81 / $3,347.07 / $3,454.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.81 / $2,592.80 / $4,714.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,952.83 / $5,200.47 / $22,862.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.92 / $2,704.43 / $4,007.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $2,780.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,029.93 / $2,964.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.81 / $3,991.58 / $23,421.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.11 / $2,647.48 / $4,162.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.11 / $2,470.91 / $3,507.35