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Missouri rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.31 / $72.93 / $75.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.78 / $56.50 / $102.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.92 / $113.32 / $498.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.92 / $54.49 / $87.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $59.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $63.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.31 / $86.95 / $477.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.49 / $57.68 / $88.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.21 / $120.21 / $144.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.49 / $53.84 / $72.09