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Missouri rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.83 / $229.02 / $236.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.83 / $177.41 / $322.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.89 / $355.83 / $1,564.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $187.23 / $274.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $227.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.83 / $273.11 / $1,599.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.42 / $181.14 / $301.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.42 / $169.07 / $239.98