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Missouri rates for HCPCS L6712

Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.39 / $1,004.93 / $1,037.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.39 / $778.47 / $1,415.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.05 / $1,561.40 / $6,864.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.09 / $811.81 / $1,210.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.10 / $967.10 / $967.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.98 / $705.98 / $996.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.39 / $1,245.55 / $6,958.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $803.70 / $1,320.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $741.88 / $1,099.77