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Missouri rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.73 / $579.42 / $597.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.73 / $463.44 / $816.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.47 / $643.07 / $643.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.42 / $900.29 / $3,957.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.96 / $462.16 / $693.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.31 / $663.31 / $663.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $484.22 / $707.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.73 / $691.00 / $4,017.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.20 / $463.40 / $811.29
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.69 / $738.69 / $738.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.20 / $428.69 / $630.35