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Missouri rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $77.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $151.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $23.31 / $90.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.12 / $56.12 / $56.12