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Missouri rates for HCPCS L6688

Upper extremity addition, frame type socket, above elbow or elbow disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $2,398.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $537.03 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $537.03 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $489.78