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Missouri rates for HCPCS L6300

Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,300.42 / $3,402.72 / $3,511.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.42 / $2,652.17 / $4,792.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,035.18 / $5,286.95 / $23,242.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,685.69 / $2,731.85 / $4,073.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.78 / $3,813.78 / $3,813.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.06 / $2,784.06 / $3,928.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,300.42 / $4,057.97 / $23,822.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.05 / $2,691.50 / $4,747.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.05 / $2,531.09 / $3,588.30