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Missouri rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.99 / $2,517.53 / $2,598.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.99 / $1,950.20 / $3,545.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,725.32 / $3,911.59 / $17,196.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.63 / $2,249.31 / $3,064.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $2,414.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.99 / $3,002.30 / $17,433.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.40 / $1,991.33 / $3,307.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.40 / $1,867.71 / $2,638.09