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Missouri rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.27 / $589.11 / $607.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.27 / $456.35 / $829.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.73 / $915.32 / $4,023.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.50 / $470.36 / $705.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $496.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $362.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.31 / $730.16 / $3,942.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.08 / $465.97 / $760.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.08 / $434.90 / $617.32