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Missouri rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.13 / $16.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.49 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $14.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $17.38 / $48.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.96 / $125.89
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.96 / $14.79