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Missouri rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.11 / $671.70 / $693.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.11 / $520.33 / $946.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.96 / $1,043.66 / $4,588.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.00 / $459.77 / $804.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $663.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.63 / $750.87 / $4,034.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.58 / $495.88 / $801.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.58 / $495.88 / $664.14