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Missouri rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.68 / $1,472.78 / $1,519.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.68 / $1,140.89 / $2,074.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,179.35 / $2,288.32 / $10,059.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.04 / $1,315.88 / $1,792.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $892.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.68 / $1,756.39 / $10,198.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.40 / $1,164.95 / $1,934.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.67 / $2,608.67 / $3,130.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.40 / $1,087.26 / $1,545.46