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Missouri rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.45 / $1,678.04 / $1,731.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.45 / $1,299.89 / $2,363.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,483.08 / $2,607.23 / $11,461.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.94 / $1,157.24 / $2,008.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $1,551.30 / $1,551.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,132.45 / $1,597.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.88 / $2,001.17 / $9,894.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.85 / $1,255.64 / $1,862.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.85 / $1,238.78 / $1,683.10