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Missouri rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $257.04 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $338.84 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $331.13 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $316.23