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Missouri rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.13 / $111.13 / $111.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.00 / $2,559.00 / $2,559.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,161.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.14 / $1,161.14 / $1,161.14