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Missouri rates for HCPCS L6713

Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $2,754.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $6,760.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,023.29 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,348.96