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Missouri rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.49 / $160.47 / $165.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.49 / $124.31 / $226.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.47 / $249.34 / $1,096.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.54 / $126.97 / $192.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $166.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $121.52 / $177.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.49 / $191.37 / $1,123.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.89 / $126.93 / $220.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.89 / $118.47 / $168.16