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Missouri rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.35 / $564.07 / $582.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.35 / $451.97 / $794.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.69 / $876.42 / $3,852.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.30 / $491.79 / $675.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $474.45 / $692.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.35 / $672.68 / $4,278.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.22 / $453.28 / $806.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.79 / $416.41 / $621.73