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Missouri rates for HCPCS L6884

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.17 / $2,158.35 / $2,227.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.17 / $1,671.96 / $3,039.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,193.83 / $3,353.52 / $14,742.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.35 / $1,619.41 / $2,585.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,434.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.17 / $2,674.62 / $14,087.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.00 / $1,707.22 / $2,688.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.00 / $1,593.36 / $2,261.71