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Missouri rates for HCPCS L8435

Prosthetic sock, multiple ply, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.78 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $16.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $22.39 / $63.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.13 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.80 / $19.95