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Missouri rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.99 / $158.26 / $163.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.99 / $122.60 / $222.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.19 / $245.90 / $1,081.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $117.63 / $189.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $92.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.99 / $188.73 / $1,050.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.05 / $125.18 / $205.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.89 / $116.83 / $165.84