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Missouri rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.94 / $3,057.37 / $3,155.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.94 / $2,368.38 / $4,306.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,524.14 / $4,750.35 / $20,883.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.79 / $2,731.58 / $3,721.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $2,146.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.94 / $3,656.86 / $21,171.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.53 / $2,445.14 / $4,016.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.53 / $2,268.17 / $3,203.78