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Missouri rates for HCPCS L6698

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.68 / $537.95 / $555.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.49 / $416.72 / $757.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.03 / $835.83 / $3,674.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.00 / $412.43 / $644.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.20 / $386.20 / $386.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.93 / $281.93 / $281.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.85 / $625.08 / $3,318.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.75 / $397.13 / $593.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.75 / $397.13 / $531.87