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Missouri rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.82 / $2,606.03 / $2,689.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.82 / $2,522.88 / $3,670.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,856.27 / $4,049.08 / $17,800.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.62 / $2,335.56 / $3,121.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $2,407.09 / $3,396.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.99 / $3,146.89 / $19,929.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.37 / $2,109.32 / $4,077.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.35 / $1,925.45 / $2,939.00