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Missouri rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.05 / $541.45 / $558.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.05 / $419.44 / $762.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.82 / $536.82 / $600.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.22 / $841.28 / $3,698.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.99 / $414.81 / $648.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $455.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.05 / $645.73 / $3,613.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.26 / $428.28 / $685.72
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.37 / $742.37 / $742.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.26 / $399.72 / $567.38