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Missouri rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.48 / $3,001.94 / $3,098.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.48 / $2,403.62 / $4,228.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,442.12 / $4,664.22 / $20,504.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.55 / $2,225.15 / $3,593.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $2,293.31 / $3,235.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.48 / $3,580.00 / $18,963.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.24 / $2,400.80 / $3,885.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.24 / $2,216.12 / $2,968.11