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Missouri rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $2,511.89 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $208.93 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $245.47 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $181.97 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $281.84 / $977.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $288.40 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $223.87 / $537.03