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Missouri rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.13 / $111.13 / $111.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,999.99 / $89,999.99 / $89,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,703.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.06 / $1,703.06 / $1,703.06