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Missouri rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $138.04 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $181.97 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $181.97 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $162.18