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Missouri rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.30 / $458.99 / $473.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.30 / $382.14 / $646.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.39 / $509.39 / $509.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.19 / $713.15 / $3,135.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.72 / $408.18 / $549.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $306.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.30 / $547.38 / $3,569.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.05 / $377.12 / $683.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.19 / $341.41 / $516.01