go back

Missouri rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.65 / $233.19 / $240.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.65 / $201.17 / $328.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.06 / $362.31 / $1,592.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.90 / $205.41 / $279.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $244.07 / $244.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $178.17 / $251.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.44 / $293.30 / $1,746.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.77 / $189.50 / $358.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.26 / $448.26 / $537.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.37 / $172.15 / $258.45