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Missouri rates for HCPCS L6620

Upper extremity addition, flexion/extension wrist unit, with or without friction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.12 / $307.83 / $317.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.12 / $238.47 / $433.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.53 / $478.31 / $2,102.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.58 / $218.58 / $368.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $292.48 / $292.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.51 / $213.51 / $301.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.90 / $367.12 / $1,897.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.50 / $239.91 / $388.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.50 / $227.26 / $322.58