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Missouri rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $333.10 / $343.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.05 / $258.02 / $469.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.90 / $517.54 / $2,275.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.53 / $248.84 / $398.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $292.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $397.24 / $2,227.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.25 / $263.48 / $440.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.25 / $245.90 / $349.05