go back

Missouri rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.53 / $274.43 / $283.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.53 / $217.56 / $386.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.09 / $426.39 / $1,874.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.15 / $234.08 / $328.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.27 / $305.27 / $305.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.85 / $222.85 / $314.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.81 / $345.18 / $2,036.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.30 / $219.47 / $388.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.61 / $202.59 / $302.66