go back

Missouri rates for HCPCS L6450

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.67 / $2,824.71 / $2,915.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.67 / $2,188.16 / $3,978.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,179.88 / $4,388.87 / $19,294.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.78 / $2,260.71 / $3,381.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $2,717.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $1,983.86 / $2,799.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.67 / $3,368.66 / $19,464.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.43 / $2,234.32 / $3,861.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.49 / $2,085.67 / $2,844.80