go back

Missouri rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.25 / $37.35 / $38.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.25 / $29.46 / $52.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.27 / $58.03 / $255.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $33.40 / $44.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.21 / $36.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.25 / $44.55 / $279.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.98 / $30.02 / $58.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $27.79 / $42.50