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Missouri rates for HCPCS L6320

Shoulder disarticulation, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.47 / $1,848.18 / $1,907.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.47 / $1,431.69 / $2,603.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,734.84 / $2,871.58 / $12,624.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.94 / $1,253.11 / $2,212.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.27 / $1,637.27 / $1,637.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.21 / $1,195.21 / $1,686.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.56 / $2,147.54 / $10,648.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.59 / $1,364.38 / $2,187.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.91 / $1,366.91 / $1,366.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.59 / $1,364.38 / $1,952.30