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Missouri rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $125.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $53.70 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $67.61 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $43.65 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $60.26