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Missouri rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.86 / $97.41 / $100.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $75.45 / $137.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.13 / $151.35 / $665.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.03 / $87.33 / $116.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $96.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.86 / $116.17 / $730.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $77.90 / $153.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $71.91 / $110.81