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Missouri rates for HCPCS L6925

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,529.60 / $6,700.03 / $6,914.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,529.60 / $5,347.27 / $9,436.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,914.37 / $10,410.10 / $45,764.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,484.40 / $5,623.53 / $8,024.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,261.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $5,301.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,609.72 / $8,025.65 / $48,028.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,844.58 / $5,358.35 / $9,544.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,774.66 / $5,358.35 / $7,286.95