go back

Missouri rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.40 / $1,621.75 / $1,673.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.40 / $1,256.29 / $2,284.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.85 / $1,799.85 / $1,799.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.80 / $2,519.79 / $11,077.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.99 / $1,448.96 / $1,941.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $1,435.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.40 / $2,010.06 / $11,271.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.67 / $1,282.78 / $2,130.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.67 / $1,197.23 / $1,701.77