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Missouri rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.33 / $2,405.61 / $2,482.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.33 / $1,897.34 / $3,388.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,559.71 / $3,737.70 / $16,431.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.13 / $1,898.20 / $2,879.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $2,479.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $1,810.27 / $2,554.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.33 / $2,868.84 / $16,444.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.74 / $1,912.47 / $3,314.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.74 / $1,789.40 / $2,821.55