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Missouri rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.91 / $2,301.44 / $2,375.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.91 / $1,798.39 / $3,241.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,405.57 / $3,575.85 / $15,720.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.90 / $1,744.37 / $2,755.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.15 / $1,784.15 / $1,784.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.43 / $1,302.43 / $1,837.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.91 / $2,744.61 / $15,230.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.06 / $1,820.41 / $3,045.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.06 / $1,699.00 / $2,411.65