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Missouri rates for HCPCS L6200

Elbow Disarticulation Molded Socket Outside Locking Hinge Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,791.13 / $2,649.39 / $2,734.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.13 / $2,052.34 / $3,731.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,920.44 / $4,116.46 / $18,096.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,966.59 / $2,000.39 / $3,171.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.60 / $2,694.60 / $2,694.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $1,967.06 / $1,967.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,791.13 / $3,159.55 / $17,419.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.29 / $2,095.62 / $3,488.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.29 / $1,955.86 / $2,834.32