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Missouri rates for HCPCS L6500

Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.75 / $3,049.67 / $3,147.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.75 / $2,362.42 / $4,295.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,512.76 / $4,738.39 / $20,830.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,224.32 / $2,262.55 / $3,651.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,168.71 / $3,167.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.75 / $3,636.93 / $19,143.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.69 / $2,412.26 / $3,724.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.69 / $2,251.37 / $3,195.71