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Missouri rates for HCPCS L6400

Below Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.41 / $2,040.38 / $2,105.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.41 / $1,625.88 / $2,873.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.25 / $3,170.21 / $13,936.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.58 / $1,693.61 / $2,442.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $2,125.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $1,551.26 / $2,188.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.41 / $2,433.27 / $14,520.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.85 / $1,631.79 / $2,901.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.51 / $1,506.27 / $2,141.06