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Missouri rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $274.55 / $283.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.61 / $235.97 / $386.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.26 / $426.57 / $1,875.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.09 / $247.06 / $328.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $280.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $204.89 / $289.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.89 / $345.19 / $2,155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.90 / $225.58 / $421.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.69 / $204.22 / $312.33