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Missouri rates for HCPCS L6676

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.37 / $105.56 / $108.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $81.77 / $148.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.21 / $164.02 / $721.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $88.15 / $126.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $97.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $71.20 / $103.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.63 / $125.89 / $771.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $83.50 / $133.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.47 / $78.52 / $111.90