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Missouri rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.92 / $544.22 / $561.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.92 / $421.58 / $766.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.30 / $845.57 / $3,717.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.12 / $426.28 / $651.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $527.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $384.89 / $562.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.92 / $674.52 / $3,676.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.23 / $435.23 / $744.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.23 / $401.75 / $570.28