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Missouri rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $323.59 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $323.59 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $295.12