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Missouri rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.26 / $2,708.74 / $2,795.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.26 / $2,098.32 / $3,815.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,685.53 / $2,685.53 / $3,006.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,008.26 / $4,208.67 / $18,502.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.35 / $2,148.37 / $3,242.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $1,576.85 / $2,533.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.26 / $3,230.34 / $18,029.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.18 / $2,142.58 / $3,638.91
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,307.19 / $3,307.19 / $3,307.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.18 / $2,014.87 / $2,861.35