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Missouri rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.64 / $431.39 / $445.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.64 / $340.25 / $607.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.35 / $670.27 / $2,946.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.25 / $389.98 / $516.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $440.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.80 / $534.67 / $3,399.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.39 / $346.66 / $680.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.36 / $318.47 / $490.75