go back

Missouri rates for HCPCS 11772

Excision of pilonidal cyst or sinus; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.99 / $3,491.00 / $7,365.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.55 / $989.11 / $9,019.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,291.00 / $5,200.00